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KELLIE JO NGUYEN PA
NPI 1114035532
Physician Assistant - Surgical in Allentown, PA

Active since August 26, 2006PECOS Enrolled
1210 S CEDAR CREST BLVD, SUITE 1100, ALLENTOWN, PA 18103(610) 402-6555(610) 402-6550 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kellie Jo Nguyen Pa NPPES

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

KELLIE JO NGUYEN PA (NPI 1114035532) is an individual surgical provider in Allentown, Pennsylvania, licensed in Pennsylvania (MA051654) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114035532
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKELLIE JO NGUYENCredential: PA
Location Address1210 S CEDAR CREST BLVD, SUITE 1100Allentown, PA 18103-6229
Mailing AddressPo Box 1754Allentown, PA 18105-1754 · (610) 798-4500
Phone(610) 402-6555
Fax(610) 402-6550
Sole ProprietorNo
Enumeration DateAugust 26, 2006
Last NPPES UpdateJune 3, 2026
NPPES CertifiedJune 3, 2026
✔ NPI 1114035532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in PA · MA051654
Also ListedPhysician AssistantTaxonomy 363A00000X · License MA051654 (PA)
1210 S CEDAR CREST BLVD, Allentown, PA 18103
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Other Names 1

Former Name (1)Kellie Jo Rodelli Pa

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kellie Jo Nguyen Pa 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.

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.

AMELIA KUHNS
Nurse Practitioner (Family)
1210 S CEDAR CREST BLVD, STE 1100
ALLENTOWN, PA 18103
Lehigh County (610) 402-7999
JAY VARRATO DO
Psychiatry & Neurology (Neurology)
1210 S CEDAR CREST BLVD, SUITE 1800
ALLENTOWN, PA 18103
Lehigh County (610) 402-8420
LEHIGH VALLEY PHYSICIAN GROUP
Internal Medicine (Nephrology)
1210 S CEDAR CREST BLVD, SUITE 3600
ALLENTOWN, PA 18103
Lehigh County (610) 402-1150
ANNE BURDINE RD
Dietitian, Registered
1210 S CEDAR CREST BLVD, STE 2400
ALLENTOWN, PA 18103
Lehigh County (610) 402-3888
KRISTEN LISSENDEN CRNP
Nurse Practitioner (Pediatrics)
1210 S CEDAR CREST BLVD, STE 2400
ALLENTOWN, PA 18103
Lehigh County (610) 402-3888
GINGER K O'SULLIVAN CRNP
Clinical Nurse Specialist (Neuroscience)
1210 S CEDAR CREST BLVD, SUITE 1800
ALLENTOWN, PA 18103
Lehigh County (610) 402-8420
LUTHER VALENTINE RHODES III MD
Internal Medicine (Infectious Disease)
1210 S CEDAR CREST BLVD, STE 2700
ALLENTOWN, PA 18103
Lehigh County (610) 402-8430
ELLIOT SUSSMAN MD
Internal Medicine
1210 S CEDAR CREST BLVD, SUITE 3600
ALLENTOWN, PA 18103
Lehigh County (610) 402-1150

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 Kellie Jo Nguyen's NPI number?

The NPI number for Kellie Jo Nguyen is 1114035532. It was assigned to this individual provider in the NPPES registry on August 26, 2006. The provider is also known as Kellie Jo Rodelli PA.

Where is Kellie Jo Nguyen located?

Kellie Jo Nguyen practices at 1210 S Cedar Crest Blvd Suite 1100, Allentown, PA 18103. The listed phone number is (610) 402-6555.

What is Kellie Jo Nguyen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kellie Jo Nguyen enrolled in Medicare?

Yes. Kellie Jo Nguyen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kellie Jo Nguyen was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.