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DR. HORTENSIA KELLY D.O
NPI 1114181443
Family Medicine in Newark, NJ

Active since July 16, 2008PECOS Enrolled
851 MOUNT PROSPECT AVE, NEWARK, NJ 07104(973) 481-0501(973) 481-0503 Get Directions Write a Review

NPPES record last updated: December 16, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Hortensia Kelly D.o NPPES

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

DR. HORTENSIA KELLY D.O (NPI 1114181443) is an individual family medicine provider in Newark, New Jersey, licensed in New Jersey (25MB08441500) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114181443
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HORTENSIA KELLYCredential: D.O
Location Address851 MOUNT PROSPECT AVENewark, NJ 07104-3228
Mailing Address851 Mount Prospect AveNewark, NJ 07104-3228 · (973) 481-0501 · Fax (973) 481-0503
Phone(973) 481-0501
Fax(973) 481-0503
Sole ProprietorYes
Enumeration DateJuly 16, 2008
Last NPPES UpdateDecember 16, 2010
✔ NPI 1114181443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MB08441500
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
851 MOUNT PROSPECT AVE, Newark, NJ 07104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Hortensia Kelly D.o 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.

Medicare Billing Reassignment

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

Saint James Health Inc
3.5 mi
Federally Qualified Health Center (FQHC)
332 S 8TH ST
Newark, NJ 07103
  • Reassigned Medicare billing, New Jersey enrollment
  • 26 clinicians in this Medicare group
NPI 1538724554 (973) 789-8111

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 07104 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 3

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

MEDMAX LIMITED LIABILITY COMPANY
Family Medicine
851 MOUNT PROSPECT AVE
NEWARK, NJ 07104
Essex County (973) 483-0496
NIA MEDICAL CENTER AND SPA, LLC
Obstetrics & Gynecology (Gynecology)
851 MOUNT PROSPECT AVE
NEWARK, NJ 07104
Essex County (973) 481-0501
NIA MEDICAL CENTER &SPA
Clinic/Center
851 MOUNT PROSPECT AVE
NEWARK, NJ 07104
Essex County (973) 481-0501

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 Hortensia Kelly's NPI number?

The NPI number for Hortensia Kelly is 1114181443. It was assigned to this individual provider in the NPPES registry on July 16, 2008.

Where is Hortensia Kelly located?

Hortensia Kelly practices at 851 Mount Prospect Ave, Newark, NJ 07104. The listed phone number is (973) 481-0501.

What is Hortensia Kelly's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Hortensia Kelly enrolled in Medicare?

Yes. Hortensia Kelly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Hortensia Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hortensia Kelly reassigns Medicare benefits to Saint James Health Inc (Newark, NJ). 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 Hortensia Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hortensia Kelly accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Hortensia 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.

When was this NPI record last updated?

The NPPES record for Hortensia Kelly was last updated on December 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.