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COLLEEN KELLY WHNP
NPI 1104684422
Nurse Practitioner in Worcester, MA

Active since March 11, 2024PECOS EnrolledAccepts Medicare Assignment
119 BELMONT STREET, WORCESTER, MA 01605(508) 334-8706(508) 793-6849 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Colleen Kelly Whnp NPPES

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

COLLEEN KELLY WHNP (NPI 1104684422) is an individual nurse practitioner in Worcester, Massachusetts, licensed in Massachusetts (RN2344512) 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

NPI1104684422
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCOLLEEN KELLYCredential: WHNP
Location Address119 BELMONT STREETWorcester, MA 01605-2903
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Phone(508) 334-8706
Fax(508) 793-6849
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 11, 2024
Last NPPES UpdateAugust 5, 2024
NPPES CertifiedAugust 5, 2024
✔ NPI 1104684422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MA · RN2344512
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
119 BELMONT STREET, Worcester, MA 01605
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Colleen Kelly Whnp 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 ID1951849728
PECOS Enrollment IDI20240813000293
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.

Medicare Billing Reassignment

Medicare enrollment records show Colleen Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Umass Memorial Medical Group Inc
1.7 mi
Internal Medicine
55 LAKE AVE N
Worcester, MA 01655
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,902 clinicians in this Medicare group
NPI 1760445373 (508) 334-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

ALISHA LAKHANI MD, MPH
Internal Medicine (Rheumatology)
119 BELMONT STREET, RHEUMATOLOGY
WORCESTER, MA 01605
Worcester County (508) 334-1131
SUSAN ANNE TRIPP MS, RD, LDN, CNSC
Dietitian, Registered (Nutrition, Pediatric)
119 BELMONT STREET, 5TH FLOOR NICU
WORCESTER, MA 01605
Worcester County (508) 334-6913
DEANNA SVERDLOV M.D.
Obstetrics & Gynecology
119 BELMONT STREET
WORCESTER, MA 01605
Worcester County (508) 334-0550
ANUSMRITI GURAGAIN M.D.
Student in an Organized Health Care Education/Training Program
119 BELMONT STREET
WORCESTER, MA 01605
Worcester County (508) 334-6109
JIRAPAT TEERAKANOK MD
Internal Medicine (Rheumatology)
119 BELMONT STREET, RHEUMATOLOGY
WORCESTER, MA 01605
Worcester County (508) 334-5224
MS. PATRICIA A MACCULLOCH NP
Nurse Practitioner (Acute Care)
119 BELMONT STREET, SPINCE CENTER
WORCESTER, MA 01605
Worcester County (508) 334-1886
MEGHAN L BEAULIEU NNP-BC
Nurse Practitioner (Neonatal)
119 BELMONT STREET
WORCESTER, MA 01605
Worcester County (508) 334-6206
ERICA A FULLERTON CNM
Advanced Practice Midwife
119 BELMONT STREET
WORCESTER, MA 01605
Worcester County (508) 334-8706

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 Colleen Kelly's NPI number?

The NPI number for Colleen Kelly is 1104684422. It was assigned to this individual provider in the NPPES registry on March 11, 2024.

Where is Colleen Kelly located?

Colleen Kelly practices at 119 Belmont Street, Worcester, MA 01605. The listed phone number is (508) 334-8706.

What is Colleen Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Colleen Kelly enrolled in Medicare?

Yes. Colleen 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.

Which organization bills Medicare for Colleen Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Colleen Kelly reassigns Medicare benefits to Umass Memorial Medical Group Inc (Worcester, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Colleen Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Colleen Kelly was last updated on August 5, 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.