KATHERINE KELLEY
NPI 1336704592
Student in an Organized Health Care Education/Training Program in New York, NY
About Katherine Kelley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHERINE KELLEY (NPI 1336704592) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Katherine Kelley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Katherine Kelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10029
- Reassigned Medicare billing, New York enrollment
- 623 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 Katherine Kelley's NPI number?
The NPI number for Katherine Kelley is 1336704592. It was assigned to this individual provider in the NPPES registry on May 3, 2019.
Where is Katherine Kelley located?
Katherine Kelley practices at 30 Waterside Plz Apt 11G, New York, NY 10010. The listed phone number is (313) 539-6747.
What is Katherine Kelley's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Katherine Kelley enrolled in Medicare?
Yes. Katherine Kelley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Katherine Kelley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Kelley reassigns Medicare benefits to Metropolitan Medical Practice Plan PC (New York, NY). 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 Katherine Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Katherine Kelley was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.
# Katherine Kelley · NPI 1336704592
Student in an Organized Health Care Education/Training Program provider in New York, New York. Individual provider, active in the CMS NPPES registry since May 3, 2019.
## Identity
- **NPI:** 1336704592 (Entity type: Individual)
- **Enumerated:** May 3, 2019
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 30 WATERSIDE PLZ APT 11G, New York, NY 10010-2630
- **Phone:** (313) 539-6747
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Metropolitan Medical Practice Plan PC (NPI 1306138383, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1336704592) · Data from the CMS NPPES public registry.