JANE C KELLY
NPI 1104167089
Nurse Practitioner - Acute Care in Boston, MA
About Jane C Kelly NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JANE C KELLY (NPI 1104167089) is an individual acute care provider in Boston, Massachusetts, licensed in Massachusetts (143103) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jane C Kelly is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BOSTON, MA 02130
BOSTON, MA 02130
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 Jane Kelly's NPI number?
The NPI number for Jane Kelly is 1104167089. It was assigned to this individual provider in the NPPES registry on March 2, 2013.
Where is Jane Kelly located?
Jane Kelly practices at 150 S Huntington Ave, Boston, MA 02130. The listed phone number is (617) 726-5130.
What is Jane Kelly's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Jane Kelly enrolled in Medicare?
Yes. Jane Kelly is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jane Kelly was last updated on November 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Jane C Kelly · NPI 1104167089
Acute Care physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since March 2, 2013.
## Identity
- **NPI:** 1104167089 (Entity type: Individual)
- **Enumerated:** March 2, 2013
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 143103 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 150 S HUNTINGTON AVE, Boston, MA 02130-4817
- **Phone:** (617) 726-5130
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** November 1, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1104167089) · Data from the CMS NPPES public registry.