MR. JONATHAN D KELLY PA.C.
NPI 1053529446
Physician Assistant - Medical in Farmington, NM

Q: What is Jonathan Kelly's NPI number?

The NPI number for Jonathan Kelly is 1053529446. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Q: What is Jonathan Kelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jonathan Kelly was last updated on January 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 18, 2007PECOS EnrolledAccepts Medicare Assignment

622 W MAPLE ST STE B, FARMINGTON, NM 87401(505) 327-4867 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Jonathan D Kelly Pa.c. NPPES

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

MR. JONATHAN D KELLY PA.C. (NPI 1053529446) is an individual medical provider in Farmington, New Mexico, licensed in New Mexico (PA054) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with San Juan Regional Medical Center Inc, and maintains a secondary practice location in Aztec.

NPPES Registry Identity

NPI1053529446

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. JONATHAN D KELLYCredential: PA.C.

Location Address622 W MAPLE ST STE BFarmington, NM 87401-6589

Mailing Address622 W Maple St Ste BFarmington, NM 87401-6589 · (505) 327-4867 · Fax (505) 327-5355

Phone(505) 327-4867

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateMay 18, 2007

Last NPPES UpdateJanuary 12, 2023

NPPES CertifiedJanuary 12, 2023

✔ NPI 1053529446 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 NM · PA054

622 W MAPLE ST STE B, Farmington, NM 87401

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Secondary Practice Location 1

Location 1102 Llano StAztec, NM 87410-2172 · Phone (505) 334-9441 · Fax (505) 334-8750

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

Mr. Jonathan D Kelly 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 ID7517083926

PECOS Enrollment IDI20100922001252

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.

San Juan Regional Medical Center Inc

Acute Care Hospitals · Farmington, NM

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number320005

Location801 West Maple StreetFarmington, NM 87401 · San Juan County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 18

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers12 claims24 services$6.40 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

4 suppliers15 claims15 services$86.98 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

3 suppliers16 claims38 services$35.39 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers14 claims14 services$18.55 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

5 suppliers21 claims21 services$15.63 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers20 claims103 services$2.44 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

4 suppliers12 claims12 services$12.15 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers70 claims71 services$15.63 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$876.91 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

1 supplier13 claims13 services$88.36 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers21 claims21 services$13.20 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers17 claims25 services$4.90 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

4 suppliers34 claims34 services$34.88 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

6 suppliers114 claims115 services$79.91 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

3 suppliers14 claims3,144 services$0.03 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$200.12 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 supplier20 claims20 services$29.97 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

4 suppliers13 claims13 services$24.06 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 8

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

CLARISSA GILBERT FCNP

Nurse Practitioner (Family)

622 W MAPLE ST STE B
FARMINGTON, NM 87401

San Juan County (505) 327-4867

NATASHA AGATE CNP

Nurse Practitioner

622 W MAPLE ST STE B
FARMINGTON, NM 87401

San Juan County (505) 327-4867

DR. JOSEPH DAVID HAKES M.D.

Family Medicine

622 W MAPLE ST STE B
FARMINGTON, NM 87401

San Juan County (505) 327-4867

BRITTANY FLORENCE

Physician Assistant (Medical)

622 W MAPLE ST STE B
FARMINGTON, NM 87401

San Juan County (505) 566-5109

MRS. EMILY SUMRALL RN, BSN

Nurse Practitioner

622 W MAPLE ST STE B
FARMINGTON, NM 87401

San Juan County (505) 327-4867

JODI K. PADGETT FNP-BC

Nurse Practitioner (Family)

622 W MAPLE ST STE B
FARMINGTON, NM 87401

San Juan County (505) 327-4867

TAYLOR M. WADE MD

Family Medicine

622 W MAPLE ST STE B
FARMINGTON, NM 87401

San Juan County (505) 327-4867

MR. AARON PHILLIP ROGERS NP

Nurse Practitioner (Family)

622 W MAPLE ST STE B
FARMINGTON, NM 87401

San Juan County (505) 566-5109

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 Jonathan Kelly's NPI number?

The NPI number for Jonathan Kelly is 1053529446. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is Jonathan Kelly located?

Jonathan Kelly practices at 622 W Maple St Ste B, Farmington, NM 87401. The listed phone number is (505) 327-4867.

What is Jonathan Kelly's specialty?

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

Is Jonathan Kelly enrolled in Medicare?

Yes. Jonathan 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 Jonathan Kelly affiliated with any hospitals?

According to CMS data, Jonathan Kelly is affiliated with San Juan Regional Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Jonathan Kelly was last updated on January 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.