HAIDANG TRUONG KELLY NP
NPI 1033546700
Nurse Practitioner - Adult Health in Boston, MA

Active since September 26, 2013PECOS Enrolled
147 MILK ST FL 3, BOSTON, MA 02109(617) 654-7280(617) 654-7363 Get Directions Write a Review

NPPES record last updated: July 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2018, Jan 29, 2016 (2 updates tracked since 2016).

About Haidang Truong Kelly Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAIDANG TRUONG KELLY NP (NPI 1033546700) is an individual adult health provider in Boston, Massachusetts, licensed in Massachusetts (RN2263216) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033546700
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameHAIDANG TRUONG KELLYCredential: NP
Location Address147 MILK ST FL 3Boston, MA 02109
Mailing Address147 Milk St Fl 9Boston, MA 02109-4806
Fax(617) 654-7363
Sole ProprietorNo
Enumeration DateSeptember 26, 2013
Last NPPES UpdateJuly 17, 20182 updates tracked since enumeration
NPI 1033546700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in MA · RN2263216
147 MILK ST FL 3, Boston, MA 02109

Other Names 1

Former Name (1)Haidang Thi Truong Np

Other Identifiers 1

Medicaid110022129MA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Haidang Truong Kelly Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Haidang Kelly's NPI number?

The NPI number for Haidang Kelly is 1033546700. It was assigned to this individual provider in the NPPES registry on September 26, 2013. The provider is also known as Haidang Thi Truong Np.

Where is Haidang Kelly located?

Haidang Kelly practices at 147 Milk St Fl 3, Boston, MA 02109. The listed phone number is (617) 654-7280.

What is Haidang Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Haidang Kelly enrolled in Medicare?

Yes. Haidang Kelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Haidang Kelly was last updated on July 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.