KELLY WYATT
NPI 1033756044
Internal Medicine in Salem, NJ
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
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly Wyatt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Kelly Wyatt reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Carneys Point, NJ 08069
- Reassigned Medicare billing, New Jersey enrollment
- 7 clinicians in this Medicare group
Chester, PA 19013
- Reassigned Medicare billing, Pennsylvania enrollment
- 654 clinicians in this Medicare group
Newtown Square, PA 19073
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,638 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.
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.
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.
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.
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.
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.
Which organizations bill Medicare for Kelly Wyatt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Wyatt reassigns Medicare benefits to 3 organizations: Salem Internal Medicine P.C. (Carneys Point, NJ), Prospect Health Access Network, Inc. (Chester, PA) and Main Line Healthcare (Newtown Square, PA). Each 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 Wyatt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 4 months 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.
# Kelly Wyatt · NPI 1033756044
Internal Medicine physician in Salem, New Jersey. Individual provider, active in the CMS NPPES registry since December 9, 2019.
## Identity
- **NPI:** 1033756044 (Entity type: Individual)
- **Enumerated:** December 9, 2019
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 26NJ00996800 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 4 BYPASS RD STE 104, Salem, NJ 08079-2053
- **Phone:** (610) 619-7460
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Salem Internal Medicine P.C. (NPI 1437219730, Carneys Point, NJ); Prospect Health Access Network, Inc. (NPI 1013364520, Chester, PA); Main Line Healthcare (NPI 1922077643, Newtown Square, PA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 1, 2026
- **Other identifiers:** Medicaid 1033756044 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1033756044) · Data from the CMS NPPES public registry.