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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLY WYATT
NPI 1033756044
Internal Medicine in Salem, NJ

Active since December 09, 2019PECOS Enrolled
4 BYPASS RD STE 104, SALEM, NJ 08079(610) 619-7460 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 7, 2021, Dec 9, 2019 (2 updates tracked since 2019).

About Kelly Wyatt NPPES

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

KELLY WYATT (NPI 1033756044) is an individual internal medicine provider in Salem, New Jersey, licensed in New Jersey (26NJ00996800) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Wynnewood.

NPPES Registry Identity

NPI1033756044
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKELLY WYATT
Location Address4 BYPASS RD STE 104Salem, NJ 08079-2053
Mailing Address333 Hickory AveAston, PA 19014-1100 · (610) 306-1509
Phone(610) 619-7460
Sole ProprietorNo
Enumeration DateDecember 9, 2019
Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1033756044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 26NJ00996800
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 26NJ00996800 (NJ)
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License SP024697 (PA)
4 BYPASS RD STE 104, Salem, NJ 08079
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Secondary Practice Location 1

Location 1100 E Lancaster AveWynnewood, PA 19096-3450 · Phone (484) 572-0171

Other Identifiers 1

Medicaid1033756044NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Wyatt 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
23 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08079 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$923.20 avg. paid by Medicare
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483
DME-Other DME · category DE000N
1 supplier12 claims12 services$956.00 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$64.27 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$31.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIR FAIZAN ALI KHAN
Family Medicine
4 BYPASS RD STE 104
SALEM, NJ 08079
Salem County (856) 887-3005
COMPLETE CARE OF SOUTH JERSEY
Internal Medicine (Nephrology)
4 BYPASS RD STE 104
SALEM, NJ 08079
Salem County (856) 887-3005
WS HEALTHCARE
Family Medicine
4 BYPASS RD STE 104
SALEM, NJ 08079
Salem County (856) 887-3005
TIFFANY LYNN KIMBLE APN
Nurse Practitioner (Family)
4 BYPASS RD STE 104
SALEM, NJ 08079
Salem County (856) 887-3005

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 Wyatt's NPI number?

The NPI number for Kelly Wyatt is 1033756044. It was assigned to this individual provider in the NPPES registry on December 9, 2019.

Where is Kelly Wyatt located?

Kelly Wyatt practices at 4 Bypass Rd Ste 104, Salem, NJ 08079. The listed phone number is (610) 619-7460.

What is Kelly Wyatt's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kelly Wyatt enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelly Wyatt was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 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.