JENNIFER J KELLY DO
NPI 1104867779
Internal Medicine - Endocrinology, Diabetes & Metabolism in South Burlington, VT

Q: What is Jennifer Kelly's NPI number?

The NPI number for Jennifer Kelly is 1104867779. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Q: What is Jennifer Kelly's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Kelly was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 June 08, 2006PECOS EnrolledAccepts Medicare Assignment

62 TILLEY DR STE 202, SOUTH BURLINGTON, VT 05403(802) 847-4576(802) 847-4967 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2025, Jan 3, 2024, Jul 21, 2022 and 2 more (5 updates tracked since 2017).

On this page

About Jennifer J Kelly Do NPPES

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

JENNIFER J KELLY DO (NPI 1104867779) is an individual endocrinology, diabetes & metabolism provider in South Burlington, Vermont, licensed in Vermont (032.0129312) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Champlain Valley Physicians Hospital Medical Ctr, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1104867779

Entity TypeIndividualFemale

Primary Taxonomy207RE0101X

Provider Legal NameJENNIFER J KELLYCredential: DO

Location Address62 TILLEY DR STE 202South Burlington, VT 05403-4407

Mailing Address62 Tilley Dr Ste 202South Burlington, VT 05403-4407 · (802) 847-4576 · Fax (802) 847-4967

Phone(802) 847-4576

Fax(802) 847-4967

Sole ProprietorNo

Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1998

Enumeration DateJune 8, 2006

Last NPPES UpdateAugust 6, 20255 updates tracked since enumeration

NPPES CertifiedAugust 6, 2025

✔ NPI 1104867779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

Licenses✔ Licensed in VT · 032.0129312✔ Licensed in NY · 216420

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

62 TILLEY DR STE 202, South Burlington, VT 05403

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Secondary Practice Locations 3

Location 1111 Colchester AveBurlington, VT 05401-1473 · Phone (802) 847-0000

Location 2133 Park StMalone, NY 12953-1244 · Phone (518) 481-2677

Location 3130 Fisher Rd Unit 1Berlin, VT 05602-8132 · Phone (802) 371-4100

Other Identifiers 1

Medicaid02532745NY

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 and accepts Medicare assignment

Jennifer J Kelly Do 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 ID42298952

PECOS Enrollment IDI20170915002671

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.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Interpretation of trabecular bone score (tbs) and report on fracture risk 77092

The Trabecular Bone Score (TBS) is a tool that helps evaluate your bone health. It looks at the texture of your bones, which can indicate their strength. The results, combined with other tests, help assess your risk of future fractures.

1,546 services1,546 patients

Dxa bone density measurement of hip, pelvis, spine 77080

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

1,539 services1,539 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

732 services665 patients

Dxa bone density measurement of forearm, finger, hand, or foot 77081

A DXA bone density measurement of the forearm, finger, hand, or foot is a non-invasive procedure that uses X-rays to measure the amount of calcium and other minerals in your bones. This test helps to assess the strength of your bones and your risk of fractures.

220 services220 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

88 services88 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

81 services41 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

70 services48 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

64 services61 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

63 services41 patients

Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment 77085

A DXA bone density measurement is a non-invasive scan that helps assess the strength of your bones, specifically in the hip, pelvis, and spine areas. It can detect early signs of osteoporosis and evaluate fracture risk. This test uses low-dose X-rays for accurate results.

20 services20 patients

Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes 99451

This service involves a consulting physician assessing your health condition via a phone or internet interaction. The doctor will spend at least 5 minutes discussing your health concerns. Afterwards, a written report summarizing the findings and recommendations will be provided for your reference.

18 services18 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

12 services12 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Champlain Valley Physicians Hospital Medical Ctr

Acute Care Hospitals · Plattsburgh, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330250

Location75 Beekman StreetPlattsburgh, NY 12901 · Clinton County

Emergency services Birthing friendly

Central Vermont Medical Center

Acute Care Hospitals · Barre, VT

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number470001

LocationBox 547Barre, VT 05641 · Washington County

Emergency services Birthing friendly

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number470003

Location111 Colchester AveBurlington, VT 05401 · Chittenden County

Emergency services Birthing friendly

Northwestern Medical Center Inc

Acute Care Hospitals · Saint Albans, VT

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number470024

Location133 Fairfield StreetSaint Albans, VT 05478 · Franklin County

Emergency services Birthing friendly

Porter Hospital, Inc

Critical Access Hospitals · Middlebury, VT

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number471307

Location115 Porter DriveMiddlebury, VT 05753 · Addison County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05403 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

$127.71 typical visit price

range $55.80 – $168.48

Typical copayment $31.92 (range $13.95 – $42.12)

Most-billed visit code 99204

Established Patient

$98.40 typical visit price

range $18.08 – $137.84

Typical copayment $24.60 (range $4.52 – $34.46)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

17 suppliers45 claims189 services$6.08 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers12 claims18 services$1.00 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

19 suppliers307 claims309 services$189.00 avg. paid by Medicare

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

Other Providers at the Same Location NPPES 3

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

LAURIE M DAVIGNON CPNP

Nurse Practitioner

62 TILLEY DR STE 202
SOUTH BURLINGTON, VT 05403

Chittenden County (802) 847-4576

HANNAH KASPER RN

Registered Nurse (Diabetes Educator)

62 TILLEY DR STE 202
SOUTH BURLINGTON, VT 05403

Chittenden County (802) 847-4576

CLARE STOKES COOK RN, CDCES

Registered Nurse (Diabetes Educator)

62 TILLEY DR STE 202
SOUTH BURLINGTON, VT 05403

Chittenden County (802) 847-4576

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 Jennifer Kelly's NPI number?

The NPI number for Jennifer Kelly is 1104867779. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Jennifer Kelly located?

Jennifer Kelly practices at 62 Tilley Dr Ste 202, South Burlington, VT 05403. The listed phone number is (802) 847-4576.

What is Jennifer Kelly's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Jennifer Kelly enrolled in Medicare?

Yes. Jennifer 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.

What insurance does Jennifer Kelly accept?

Health plans from Anthem Blue Cross and Blue Shield list Jennifer Kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jennifer Kelly affiliated with any hospitals?

According to CMS data, Jennifer Kelly is affiliated with Champlain Valley Physicians Hospital Medical Ctr, Central Vermont Medical Center, Univ. Of Vermont - Fletcher Allen Health Care, Northwestern Medical Center Inc and Porter Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Jennifer Kelly was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.