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SHARON B KELLY MD
NPI 1205930351
Dermatology - Pediatric Dermatology in Bellevue, WA

Active since September 11, 2006PECOS Enrolled
75/100
CMS Quality Rating
14030 NE 24TH ST, SUITE 202, BELLEVUE, WA 98007(425) 454-1104(425) 454-1290 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sharon B Kelly Md NPPES

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

SHARON B KELLY MD (NPI 1205930351) is an individual pediatric dermatology provider in Bellevue, Washington, licensed in Washington (MD00023018) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205930351
Entity TypeIndividualFemale
Primary Taxonomy207NP0225X
Provider Legal NameSHARON B KELLYCredential: MD
Location Address14030 NE 24TH ST, SUITE 202Bellevue, WA 98007
Mailing Address14030 Ne 24th St, Suite 202Bellevue, WA 98007 · (425) 454-1104 · Fax (425) 454-1290
Phone(425) 454-1104
Fax(425) 454-1290
Sole ProprietorNo
Enumeration DateSeptember 11, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1205930351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatology · Pediatric DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NP0225X
License✔ Licensed in WA · MD00023018
Definition
A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.
Also ListedDermatologyTaxonomy 207N00000X · License MD00023018 (WA)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License MD00023018 (WA)
14030 NE 24TH ST, Bellevue, WA 98007
Open in Google Maps ↗

Other Identifiers 5

Medicaid7080237WA
Other4291026WA · Aetna
OtherKE2842WA · Regence
Medicaid1068816WA
OtherCN9262WA · Railroad Medicare Group

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sharon B Kelly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98007 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE S FRANCIS MD
Dermatology (Pediatric Dermatology)
14030 NE 24TH ST, SUITE 202
BELLEVUE, WA 98007
King County (425) 454-1104
JIMMY ZHU D.D.S.
Dentist (General Practice)
14030 NE 24TH ST, SUITE #103
BELLEVUE, WA 98007
King County (425) 644-8485
LAURI M TADLOCK MD
Dermatology
14030 NE 24TH ST, SUITE 202
BELLEVUE, WA 98007
King County (425) 454-1104
G. B. STAHL, DDS, PLLC
Dentist
14030 NE 24TH ST, SUITE 100
BELLEVUE, WA 98007
King County (425) 641-3668
EASTSIDE DERMATOLOGY INC PS
Dermatology (Pediatric Dermatology)
14030 NE 24TH ST, SUITE 202
BELLEVUE, WA 98007
King County (425) 454-1104
DR. RANDALL M. MAEBO D.D.S.
Dentist
14030 NE 24TH ST, SUITE 103
BELLEVUE, WA 98007
King County (425) 644-8485
KATHRYN W ERICKSON MD
Dermatology (Pediatric Dermatology)
14030 NE 24TH ST, SUITE 202
BELLEVUE, WA 98007
King County (425) 454-1104
DR. ERNEST MOHANDAS MADHAVAN MD
Psychiatry & Neurology (Psychiatry)
14030 NE 24TH ST, SUITE 104
BELLEVUE, WA 98007
King County (425) 637-3976

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 Sharon Kelly's NPI number?

The NPI number for Sharon Kelly is 1205930351. It was assigned to this individual provider in the NPPES registry on September 11, 2006.

Where is Sharon Kelly located?

Sharon Kelly practices at 14030 NE 24th St Suite 202, Bellevue, WA 98007. The listed phone number is (425) 454-1104.

What is Sharon Kelly's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Pediatric Dermatology, with taxonomy code 207NP0225X.

Is Sharon Kelly enrolled in Medicare?

Yes. Sharon Kelly is registered in the Medicare PECOS enrollment system.

What insurance does Sharon Kelly accept?

Health plans from PacificSource Health Plans and Providence Health Plan list Sharon Kelly 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 Sharon Kelly was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.