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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KATHERINE KELLEY
NPI 1336704592
Student in an Organized Health Care Education/Training Program in New York, NY

Active since May 03, 2019PECOS Enrolled
100/100
CMS Quality Rating
30 WATERSIDE PLZ APT 11G, NEW YORK, NY 10010(313) 539-6747 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 17, 2026, May 3, 2019 (2 updates tracked since 2019).

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

NPI1336704592
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKATHERINE KELLEY
Location Address30 WATERSIDE PLZ APT 11GNew York, NY 10010-2630
Mailing Address30 Waterside Plz Apt 11gNew York, NY 10010-2630 · (313) 539-6747
Phone(313) 539-6747
Sole ProprietorNo
Enumeration DateMay 3, 2019
Last NPPES UpdateSeptember 17, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1336704592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
30 WATERSIDE PLZ APT 11G, New York, NY 10010
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Kelley 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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.41
Promoting Interoperability85
Improvement Activities40
Cost100

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.

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 16 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.