JILLIAN MARIE KELLY NP
NPI 1083923130
Nurse Practitioner - Women's Health in Medford, MA

Q: What is Jillian Kelly's NPI number?

The NPI number for Jillian Kelly is 1083923130. It was assigned to this individual provider in the NPPES registry on October 6, 2010.

Q: What is Jillian Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Jillian Kelly was last updated on March 27, 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.

Active since October 06, 2010PECOS Enrolled

26 CITY HALL MALL, MEDFORD, MA 02155(781) 306-5304(781) 306-5227 Get Directions Write a Review

NPPES record last updated: March 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jillian Marie Kelly Np NPPES

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

JILLIAN MARIE KELLY NP (NPI 1083923130) is an individual women's health provider in Medford, Massachusetts, licensed in Massachusetts (275375) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083923130

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameJILLIAN MARIE KELLYCredential: NP

Location Address26 CITY HALL MALLMedford, MA 02155-4754

Mailing Address26 City Hall MallMedford, MA 02155-4754 · (781) 306-5304 · Fax (781) 306-5227

Phone(781) 306-5304

Fax(781) 306-5227

Sole ProprietorNo

Enumeration DateOctober 6, 2010

Last NPPES UpdateMarch 27, 2021

NPPES CertifiedMarch 27, 2021

✔ NPI 1083923130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in MA · 275375

26 CITY HALL MALL, Medford, MA 02155

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jillian Marie Kelly Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02155 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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.

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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.

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