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KAREN KELLY
NPI 1053403576
Nurse Practitioner - Family in Pittsburgh, PA

Active since September 29, 2006PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
200 LOTHROP ST, 9TH FL FT, PITTSBURGH, PA 15213(412) 647-3087 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karen Kelly NPPES

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

KAREN KELLY (NPI 1053403576) is an individual family provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (SP007083) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Upmc Presbyterian Shadyside, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1053403576
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAREN KELLY
Location Address200 LOTHROP ST, 9TH FL FTPittsburgh, PA 15213-2536
Mailing Address200 Lothrop St, Wing 5b PuhPittsburgh, PA 15213-2536
Phone(412) 647-3087
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateSeptember 29, 2006
Last NPPES UpdateMarch 25, 2021
✔ NPI 1053403576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP007083
200 LOTHROP ST, Pittsburgh, PA 15213
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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

Karen Kelly 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 ID4587793153
PECOS Enrollment IDI20100520000659
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES 20

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

CHELSIE DAHL
Nurse Anesthetist, Certified Registered
200 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 647-5909
OTHMAN MOHAMED-ASEM ABDUL-MALAK
Surgery (Vascular Surgery)
200 LOTHROP ST, F600 PRESBYTERIAN HOSPITAL
PITTSBURGH, PA 15213
Allegheny County (412) 647-2345
KAITLEN MORGAN
Nurse Practitioner (Critical Care Medicine)
200 LOTHROP ST, 613 SCAIFE HALL
PITTSBURGH, PA 15213
Allegheny County (412) 647-2345
UTPAL JHA M.D.
Internal Medicine (Critical Care Medicine)
200 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 530-6274
RACHEL IVY FRICK
Occupational Therapist
200 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 647-6017
ARTUR ZGUROV MD
Neurological Surgery
200 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 647-2345
KAREN KAIJIE XU MD
Student in an Organized Health Care Education/Training Program
200 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 647-2345
SAM ALLEN MICHELHAUGH MD
Student in an Organized Health Care Education/Training Program
200 LOTHROP ST
PITTSBURGH, PA 15213
Allegheny County (412) 770-4949

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 Karen Kelly's NPI number?

The NPI number for Karen Kelly is 1053403576. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Karen Kelly located?

Karen Kelly practices at 200 Lothrop St 9th Fl Ft, Pittsburgh, PA 15213. The listed phone number is (412) 647-3087.

What is Karen Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Karen Kelly enrolled in Medicare?

Yes. Karen Kelly 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.

Is Karen Kelly affiliated with any hospitals?

According to CMS data, Karen Kelly is affiliated with Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Karen Kelly was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.