JOHN EDWARD KELLY PA
NPI 1255876041
Physician Assistant in Leesburg, FL
About John Edward Kelly Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN EDWARD KELLY PA (NPI 1255876041) is an individual physician assistant in Leesburg, Florida, licensed in Florida (PA9109928) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
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
John Edward Kelly Pa 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.
Areas of Expertise CMS Part B claims 10
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 34748 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 2
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 John Kelly's NPI number?
The NPI number for John Kelly is 1255876041. It was assigned to this individual provider in the NPPES registry on January 3, 2017.
Where is John Kelly located?
John Kelly practices at 1340 Citizens Blvd, Leesburg, FL 34748. The listed phone number is (352) 435-7695.
What is John Kelly's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is John Kelly enrolled in Medicare?
Yes. John 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.
When was this NPI record last updated?
The NPPES record for John Kelly was last updated on January 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# John Edward Kelly, PA · NPI 1255876041
Physician Assistant physician in Leesburg, Florida. Individual provider, active in the CMS NPPES registry since January 3, 2017.
## Identity
- **NPI:** 1255876041 (Entity type: Individual)
- **Enumerated:** January 3, 2017
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA9109928 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1340 CITIZENS BLVD, Leesburg, FL 34748-3924
- **Phone:** (352) 435-7695 · **Fax:** (352) 435-7453
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** January 3, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1255876041) · Data from the CMS NPPES public registry.