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KELLI JEAN MOYLAN PA-C
NPI 1144778192
Physician Assistant - Medical in St Johnsbury, VT

Active since September 20, 2016PECOS EnrolledAccepts Medicare Assignment
457 RAILROAD ST STE 2, ST JOHNSBURY, VT 05819(802) 633-6351(802) 748-0977 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2023, May 18, 2021, Sep 20, 2016 (3 updates tracked since 2016).

About Kelli Jean Moylan Pa-c NPPES

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

KELLI JEAN MOYLAN PA-C (NPI 1144778192) is an individual medical provider in St Johnsbury, Vermont, licensed in Vermont (055.0031485) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Northeastern Vermont Regional Hospital, and maintains a secondary practice location in Newport.

NPPES Registry Identity

NPI1144778192
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKELLI JEAN MOYLANCredential: PA-C
Location Address457 RAILROAD ST STE 2St Johnsbury, VT 05819-1643
Mailing Address165 Sherman DrSt Johnsbury, VT 05819-9811 · (850) 212-1040 · Fax (802) 748-4540
Phone(802) 633-6351
Fax(802) 748-0977
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2016
Enumeration DateSeptember 20, 2016
Last NPPES UpdateOctober 11, 20233 updates tracked since enumeration
NPPES CertifiedOctober 11, 2023
✔ NPI 1144778192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in VT · 055.0031485✔ Licensed in UT · 10094033-1206
457 RAILROAD ST STE 2, St Johnsbury, VT 05819
Open in Google Maps ↗

Secondary Practice Location 1

Location 1137 Main StNewport, VT 05855-4415 · Phone (802) 995-2412 · Fax (802) 334-7991

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families.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

Kelli Jean Moylan Pa-c 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 ID7618256611
PECOS Enrollment IDI20201204001740
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 4

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.

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
51 services49 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
38 services31 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
24 services24 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Northeastern Vermont Regional Hospital

Critical Access Hospitals · Saint Johnsbury, VT
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471303
Location1315 Hospital DriveSaint Johnsbury, VT 05819 · Caledonia County
Emergency services Birthing friendly

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 Kelli Moylan's NPI number?

The NPI number for Kelli Moylan is 1144778192. It was assigned to this individual provider in the NPPES registry on September 20, 2016.

Where is Kelli Moylan located?

Kelli Moylan practices at 457 Railroad St Ste 2, St Johnsbury, VT 05819. The listed phone number is (802) 633-6351.

What is Kelli Moylan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kelli Moylan enrolled in Medicare?

Yes. Kelli Moylan 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 Kelli Moylan accept?

Health plans from Ambetter from NH Healthy Families list Kelli Moylan 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 Kelli Moylan affiliated with any hospitals?

According to CMS data, Kelli Moylan is affiliated with Northeastern Vermont Regional Hospital.

When was this NPI record last updated?

The NPPES record for Kelli Moylan was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.