JESSICA MARIE KELLY DO
NPI 1164163887
Family Medicine in Mc Murray, PA
About Jessica Marie Kelly Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA MARIE KELLY DO (NPI 1164163887) is an individual family medicine provider in Mc Murray, Pennsylvania, licensed in Pennsylvania (OS024767) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Allegheny General Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 2
Other Identifiers 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
Jessica Marie Kelly Do 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
3Medicare enrollment records show Jessica Kelly reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mc Murray, PA 15317
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,881 clinicians in this Medicare group
Jefferson Hills, PA 15025
- Reassigned Medicare billing, Pennsylvania enrollment
- 19 clinicians in this Medicare group
Dublin, OH 43016
- Reassigned Medicare billing, Ohio enrollment
- 388 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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Allegheny General Hospital
Acute Care Hospitals · Pittsburgh, PACanonsburg General Hospital
Acute Care Hospitals · Canonsburg, PASt Clair Hospital
Acute Care Hospitals · Pittsburgh, PAJefferson Hospital
Acute Care Hospitals · Jefferson Hills, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 15317 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 7
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 Jessica Kelly's NPI number?
The NPI number for Jessica Kelly is 1164163887. It was assigned to this individual provider in the NPPES registry on April 5, 2022. The provider is also known as Jessica Marie Mcrae Do.
Where is Jessica Kelly located?
Jessica Kelly practices at 114 Gallery Dr, Mc Murray, PA 15317. The listed phone number is (412) 831-8089.
What is Jessica Kelly's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jessica Kelly enrolled in Medicare?
Yes. Jessica 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.
Which organizations bill Medicare for Jessica Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Kelly reassigns Medicare benefits to 3 organizations: Allegheny Clinic (Mc Murray, PA), Family Practice Medical Associate South Inc. (Jefferson Hills, PA) and Ohiohealth Urgent Care LLC (Dublin, OH). 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 Jessica Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jessica Kelly affiliated with any hospitals?
According to CMS data, Jessica Kelly is affiliated with Allegheny General Hospital, Canonsburg General Hospital, St Clair Hospital and Jefferson Hospital.
When was this NPI record last updated?
The NPPES record for Jessica Kelly was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Jessica Marie Kelly, DO · NPI 1164163887
Family Medicine physician in Mc Murray, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 5, 2022.
## Identity
- **NPI:** 1164163887 (Entity type: Individual)
- **Enumerated:** April 5, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** OS024767 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 114 GALLERY DR, Mc Murray, PA 15317-2690
- **Phone:** (412) 831-8089
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Allegheny Clinic (NPI 1265845044, Mc Murray, PA); Family Practice Medical Associate South Inc. (NPI 1952329914, Jefferson Hills, PA); Ohiohealth Urgent Care LLC (NPI 1811207160, Dublin, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio University, College Of Osteopathic Medicine, class of 2022
## Record status
- **NPPES last updated:** June 11, 2025
- **Other identifiers:** Medicaid 0484698 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1164163887) · Data from the CMS NPPES public registry.