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MS. GINA KELLEY PA-C
NPI 1043078041
Physician Assistant - Medical in Wallingford, CT

Active since March 13, 2024PECOS EnrolledAccepts Medicare Assignment
850 N MAIN STREET EXT # 2, WALLINGFORD, CT 06492(203) 886-0036 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ms. Gina Kelley Pa-c NPPES

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

MS. GINA KELLEY PA-C (NPI 1043078041) is an individual medical provider in Wallingford, Connecticut, licensed in Connecticut (6510) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1043078041
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. GINA KELLEYCredential: PA-C
Location Address850 N MAIN STREET EXT # 2Wallingford, CT 06492-2400
Mailing Address65 Quarry Village RdCheshire, CT 06410-2062 · (413) 454-8706
Phone(203) 886-0036
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 13, 2024
NPPES CertifiedMarch 13, 2024
✔ NPI 1043078041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CT · 6510
850 N MAIN STREET EXT # 2, Wallingford, CT 06492
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Gina Kelley Pa-c 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.

PECOS PAC ID4486095148
PECOS Enrollment IDI20240513000441
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
61 services54 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services16 patients

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 Gina Kelley's NPI number?

The NPI number for Gina Kelley is 1043078041. It was assigned to this individual provider in the NPPES registry on March 13, 2024.

Where is Gina Kelley located?

Gina Kelley practices at 850 N Main Street Ext # 2, Wallingford, CT 06492. The listed phone number is (203) 886-0036.

What is Gina Kelley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Gina Kelley enrolled in Medicare?

Yes. Gina Kelley 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.

When was this NPI record last updated?

The NPPES record for Gina Kelley was last updated on March 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.