MRS. LISA M KELLY CRNP
NPI 1316380462
Nurse Practitioner in Newark, DE

Q: What is Lisa Kelly's NPI number?

The NPI number for Lisa Kelly is 1316380462. It was assigned to this individual provider in the NPPES registry on April 8, 2013.

Q: What is Lisa Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Kelly was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 08, 2013PECOS Enrolled

200 BIDDLE AVE STE 100, NEWARK, DE 19702(302) 836-7820 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2022, Mar 17, 2017 (2 updates tracked since 2017).

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About Mrs. Lisa M Kelly Crnp NPPES

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

MRS. LISA M KELLY CRNP (NPI 1316380462) is an individual nurse practitioner in Newark, Delaware, licensed in Delaware (L10039633) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316380462

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. LISA M KELLYCredential: CRNP

Location Address200 BIDDLE AVE STE 100Newark, DE 19702-3967

Mailing AddressPo Box 191, Provider EnrollmentRockland, DE 19732-0191 · (302) 651-4200

Phone(302) 836-7820

Sole ProprietorNo

Enumeration DateApril 8, 2013

Last NPPES UpdateApril 12, 20222 updates tracked since enumeration

NPPES CertifiedApril 12, 2022

✔ NPI 1316380462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in DE · L10039633

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License SP012767 (PA)

200 BIDDLE AVE STE 100, Newark, DE 19702

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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)

Mrs. Lisa M Kelly Crnp 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 19702 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

$88.37 typical visit price

range $57.12 – $173.08

Typical copayment $22.09 (range $14.28 – $43.27)

Most-billed visit code 99203

Established Patient

$100.68 typical visit price

range $18.36 – $141.05

Typical copayment $25.17 (range $4.59 – $35.26)

Most-billed visit code 99214

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 5

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

MRS. KATHERINE ELIZABETH MCDANIEL APRN

Nurse Practitioner (Pediatrics)