Kellan Etter, DO
NPI 1700462132 · Student in an Organized Health Care Education/Training Program · Roanoke, VA
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kellan Etter, DO is a Student in an Organized Health Care Education/Training Program provider in Roanoke, VA (NPI 1700462132).
Provider details
- NPI number
- 1700462132
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-03-24
- Last updated
- 2021-03-24
- Certified
- 2021-03-24
Frequently asked questions
- What is Kellan Etter's NPI number?
- Kellan Etter's National Provider Identifier (NPI) is 1700462132, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kellan Etter's specialty?
- Kellan Etter is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Kellan Etter located?
- Kellan Etter's practice location on file with NPPES is 1906 Belleview Ave Se, Roanoke, VA 24014-1838.
- What is Kellan Etter's phone number?
- The practice phone number listed in the NPPES registry for Kellan Etter is (540) 981-7000.
- Does Kellan Etter accept Medicare?
- Kellan Etter is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kellan Etter's NPI active?
- Yes — Kellan Etter's NPI (1700462132) is active in the NPPES registry as of the last update on 2021-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.