MRS. KELY CRISTINA JERONIMO P.A
NPI 1184930836
Physician Assistant in Providence, RI

Q: What is Kely Jeronimo's NPI number?

The NPI number for Kely Jeronimo is 1184930836. It was assigned to this individual provider in the NPPES registry on August 19, 2010.

Q: What is Kely Jeronimo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kely Jeronimo was last updated on September 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 19, 2010PECOS EnrolledAccepts Medicare Assignment

164 SUMMIT AVE, DEPT OF SURGERY, PROVIDENCE, RI 02906(774) 287-4181 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 11, 2020, Apr 15, 2019 (2 updates tracked since 2019).

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About Mrs. Kely Cristina Jeronimo P.a NPPES

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

MRS. KELY CRISTINA JERONIMO P.A (NPI 1184930836) is an individual physician assistant in Providence, Rhode Island, licensed in Rhode Island (PA549) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, is affiliated with Roger Williams Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1184930836

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. KELY CRISTINA JERONIMOCredential: P.A

Location Address164 SUMMIT AVE, DEPT OF SURGERYProvidence, RI 02906-3418

Mailing Address125 Metro Center Blvd Ste 2000Warwick, RI 02886-1785 · (401) 432-2520

Phone(774) 287-4181

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateAugust 19, 2010

Last NPPES UpdateSeptember 11, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2020

✔ NPI 1184930836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in RI · PA549✔ Licensed in MA · PA7655

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

164 SUMMIT AVE, Providence, RI 02906

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Secondary Practice Locations 2

Location 1125 Metro Center Blvd Ste 2000Warwick, RI 02886-1785 · Phone (401) 432-2520 · Fax (401) 921-9212

Location 2211 Park StAttleboro, MA 02703-3137 · Phone (508) 222-5200

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

Mrs. Kely Cristina Jeronimo P.a 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 ID4587840087

PECOS Enrollment IDI20110518000263

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 3

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.

Aspiration of fluid from chest cavity using imaging guidance 32555

This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.

16 services14 patients

Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older 36573

This procedure involves placing a tube into a vein for medication or fluid delivery. Imaging guidance helps ensure correct placement, while a radiologist reviews the process for safety. It's suitable for patients aged 5 and above.

15 services14 patients

Drainage of fluid from abdominal cavity using imaging guidance 49083

This procedure involves removing excess fluid from your abdominal cavity, which can relieve discomfort. A specialist uses imaging technology to guide a thin needle into the right spot. The fluid is then drained out safely.

15 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Roger Williams Medical Center

Acute Care Hospitals · Providence, RI

4/5 CMS rating

OwnershipProprietary

CMS Certification Number410004

Location825 Chalkstone AvenueProvidence, RI 02908 · Providence County

Emergency services

Newport Hospital

Acute Care Hospitals · Newport, RI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410006

Location11 Friendship StreetNewport, RI 02840 · Newport County

Emergency services Birthing friendly

Rhode Island Hospital

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipTribal

CMS Certification Number410007

Location593 Eddy StreetProvidence, RI 02903 · Providence County

Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02906 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. HALINA KUC-MAZGAJ

Nurse Practitioner (Family)

164 SUMMIT AVE, THE MIRIAM HOSPITAL
PROVIDENCE, RI 02906

Providence County (401) 793-3902

KARL HERMAN M.D.

Internal Medicine

164 SUMMIT AVE, FAIN BLDG.
PROVIDENCE, RI 02906

Providence County (401) 793-4489

MUHAMMAD BAIG M.D.

Internal Medicine (Cardiovascular Disease)

164 SUMMIT AVE, FAIN BLDG
PROVIDENCE, RI 02906

Providence County (401) 793-4489

MS. LEANNE LAPARLE LICSW

Social Worker (Clinical)