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KEELY ANNE LAVELLE M.A., CCC-SLP
NPI 1164814943
Speech-Language Pathologist in Staten Island, NY

Active since March 03, 2015
285 EDISON ST, STATEN ISLAND, NY 10306(718) 619-6093 Get Directions Write a Review

NPPES record last updated: March 3, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Keely Anne Lavelle M.a., Ccc-slp NPPES

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

KEELY ANNE LAVELLE M.A., CCC-SLP (NPI 1164814943) is an individual speech-language pathologist provider in Staten Island, New York, licensed in New York (023053) and active in the NPI registry since March 2015. She is a graduate of Other (2012).

NPPES Registry Identity

NPI1164814943
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKEELY ANNE LAVELLECredential: M.A., CCC-SLP
Location Address285 EDISON STStaten Island, NY 10306-3156
Mailing Address285 Edison StStaten Island, NY 10306-3156 · (718) 619-6093
Phone(718) 619-6093
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 3, 2015
✔ NPI 1164814943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses✔ Licensed in NY · 023053✔ Licensed in NJ · 41YS00732200
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
285 EDISON ST, Staten Island, NY 10306
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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)

Keely Anne Lavelle M.a., Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496237729
PECOS Enrollment IDI20260305000640

Medicare Billing Reassignment

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

Barnabas Health Medical Group, PC
16 mi
Specialist
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 757 clinicians in this Medicare group
NPI 1447206420 (888) 724-7123

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Keely Lavelle's NPI number?

The NPI number for Keely Lavelle is 1164814943. It was assigned to this individual provider in the NPPES registry on March 3, 2015.

Where is Keely Lavelle located?

Keely Lavelle practices at 285 Edison St, Staten Island, NY 10306. The listed phone number is (718) 619-6093.

What is Keely Lavelle's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Keely Lavelle enrolled in Medicare?

Yes. Keely Lavelle is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keely Lavelle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keely Lavelle reassigns Medicare benefits to Barnabas Health Medical Group, PC (West Orange, 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 Keely Lavelle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keely Lavelle accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Keely Lavelle 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 Keely Lavelle was last updated on March 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.