KELLY MISSION CRNP
NPI 1144551276
Nurse Practitioner in Camden, NJ
About Kelly Mission Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY MISSION CRNP (NPI 1144551276) is an individual nurse practitioner in Camden, New Jersey, licensed in New Jersey (26NJ00901900) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Kelly Mission Crnp 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.
Medicare Billing Reassignments
5Medicare enrollment records show Kelly Mission reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Camden, NJ 08103
- Reassigned Medicare billing, New Jersey enrollment
- 137 clinicians in this Medicare group
Cherry Hill, NJ 08003
- Reassigned Medicare billing, New Jersey enrollment
- 128 clinicians in this Medicare group
Glassboro, NJ 08028
- Reassigned Medicare billing, New Jersey enrollment
- 15 clinicians in this Medicare group
Mullica Hill, NJ 08062
- Reassigned Medicare billing, New Jersey enrollment
- 35 clinicians in this Medicare group
Princess Anne, MD 21853
- Reassigned Medicare billing, New Jersey enrollment
- 79 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Kelly Mission's NPI number?
The NPI number for Kelly Mission is 1144551276. It was assigned to this individual provider in the NPPES registry on January 29, 2010.
Where is Kelly Mission located?
Kelly Mission practices at 1 Cooper Plz, Camden, NJ 08103. The listed phone number is (856) 342-2351.
What is Kelly Mission's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kelly Mission enrolled in Medicare?
Yes. Kelly Mission 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 organizations bill Medicare for Kelly Mission's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Mission reassigns Medicare benefits to 5 organizations: Cooper Univeristy Emergency Physicians, PC (Camden, NJ), Cooper Urgent Care, PC (Cherry Hill, NJ), Tri-County Health Connections PC (Glassboro, NJ), Senacare, LLC (Mullica Hill, NJ) and Medical Director Services PC (Princess Anne, MD). Each 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 Kelly Mission'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 Kelly Mission was last updated on May 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Kelly Mission, CRNP · NPI 1144551276
Nurse Practitioner physician in Camden, New Jersey. Individual provider, active in the CMS NPPES registry since January 29, 2010.
## Identity
- **NPI:** 1144551276 (Entity type: Individual)
- **Enumerated:** January 29, 2010
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 26NJ00901900 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 COOPER PLZ, Camden, NJ 08103
- **Phone:** (856) 342-2351
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Cooper Univeristy Emergency Physicians, PC (NPI 1689694473, Camden, NJ); Cooper Urgent Care, PC (NPI 1205197365, Cherry Hill, NJ); Tri-County Health Connections PC (NPI 1124660501, Glassboro, NJ); Senacare, LLC (NPI 1104447127, Mullica Hill, NJ); Medical Director Services PC (NPI 1871955807, Princess Anne, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** May 1, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1144551276) · Data from the CMS NPPES public registry.