TABITHA KELLY PA
NPI 1134630528
Physician Assistant in Milton, DE
About Tabitha Kelly Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TABITHA KELLY PA (NPI 1134630528) is an individual physician assistant in Milton, Delaware, licensed in Delaware (C5-0012230) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted 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
Tabitha Kelly Pa 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19968 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tabitha Kelly's NPI number?
The NPI number for Tabitha Kelly is 1134630528. It was assigned to this individual provider in the NPPES registry on October 12, 2017. The provider is also known as Tabitha Roach.
Where is Tabitha Kelly located?
Tabitha Kelly practices at 23900 Milton Ellendale Hwy, Milton, DE 19968. The listed phone number is (302) 684-5635.
What is Tabitha Kelly's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Tabitha Kelly enrolled in Medicare?
Yes. Tabitha 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 Tabitha Kelly accept?
Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Providence Health Plan and UnitedHealthcare list Tabitha 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 Tabitha Kelly was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Tabitha Kelly, PA · NPI 1134630528
Physician Assistant physician in Milton, Delaware. Individual provider, active in the CMS NPPES registry since October 12, 2017.
## Identity
- **NPI:** 1134630528 (Entity type: Individual)
- **Enumerated:** October 12, 2017
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** C5-0012230 (Delaware)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 23900 MILTON ELLENDALE HWY, Milton, DE 19968-2714
- **Phone:** (302) 684-5635 · **Fax:** (866) 546-6159
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** October 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1134630528) · Data from the CMS NPPES public registry.