DR. KELLY ANN MACKESSY DO
NPI 1003317421
Surgery in Pickerington, OH
About Dr. Kelly Ann Mackessy Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KELLY ANN MACKESSY DO (NPI 1003317421) is an individual surgery provider in Pickerington, Ohio, licensed in Ohio (34.018636) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kelly Ann Mackessy Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kelly Mackessy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Edgewood, KY 41017
- Reassigned Medicare billing, Kentucky and Indiana enrollments
- Also billed through NPI 1588620868 (Indiana)
- 275 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Elizabeth Edgewood
Acute Care Hospitals · Edgewood, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43147 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelly Mackessy's NPI number?
The NPI number for Kelly Mackessy is 1003317421. It was assigned to this individual provider in the NPPES registry on February 21, 2018.
Where is Kelly Mackessy located?
Kelly Mackessy practices at 1010 Refugee Rd Ste 310, Pickerington, OH 43147. The listed phone number is (614) 566-0774.
What is Kelly Mackessy's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Kelly Mackessy enrolled in Medicare?
Yes. Kelly Mackessy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kelly Mackessy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Mackessy reassigns Medicare benefits to St. Elizabeth Medical Center, Inc. (Edgewood, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Mackessy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Mackessy accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource list Kelly Mackessy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Kelly Mackessy affiliated with any hospitals?
According to CMS data, Kelly Mackessy is affiliated with St Elizabeth Edgewood.
When was this NPI record last updated?
The NPPES record for Kelly Mackessy was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Kelly Ann Mackessy, DO · NPI 1003317421
Surgery physician in Pickerington, Ohio. Individual provider, active in the CMS NPPES registry since February 21, 2018.
## Identity
- **NPI:** 1003317421 (Entity type: Individual)
- **Enumerated:** February 21, 2018
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 34.018636 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 1010 REFUGEE RD STE 310, Pickerington, OH 43147-9653
- **Phone:** (614) 566-0774 · **Fax:** (614) 533-0438
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St. Elizabeth Medical Center, Inc. (NPI 1710001185, Edgewood, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** October 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1003317421) · Data from the CMS NPPES public registry.