Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Faulkner, APRN

Individual provider Nurse Practitioner · NPI 1073497632

Kelly Faulkner, APRN is a Nurse Practitioner in Vienna, Virginia. Qualified in 2025, 1 year ago. Practices with Iris Medical Group, a 80-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
1
Licensed in
KY
In the registry since
2025
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

8133 Leesburg Pike Ste 600
Vienna, VA 22182-2733
Phone: (855) 479-4217
Fax: (888) 557-9724
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4042938 (KY)

Record details

NPI number1073497632
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedAugust 5, 2025
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Iris Medical Group — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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