MARTHA SUZANNE KELLY FNP
NPI 1346590361
Nurse Practitioner - Family in Sparks, MD

Active since September 17, 2012PECOS Enrolled
909 RIDGEBROOK RD STE 300, SPARKS, MD 21152(441) 383-9300 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 26, 2025, Dec 6, 2021, Oct 9, 2020 (3 updates tracked since 2020).

About Martha Suzanne Kelly Fnp NPPES

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

MARTHA SUZANNE KELLY FNP (NPI 1346590361) is an individual family provider in Sparks, Maryland, licensed in Ohio (APRN.CNP.0027774) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1346590361
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARTHA SUZANNE KELLYCredential: FNP
Location Address909 RIDGEBROOK RD STE 300Sparks, MD 21152-9477
Mailing Address909 Ridgebrook Rd Ste 300Sparks, MD 21152-9477 · (441) 383-9300
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 17, 2012
Last NPPES UpdateAugust 22, 20253 updates tracked since enumeration
NPPES CertifiedAugust 22, 2025
✔ NPI 1346590361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.0027774
Also ListedRegistered NurseTaxonomy 163W00000X · License RN.397302 (OH)
909 RIDGEBROOK RD STE 300, Sparks, MD 21152

Other Names 1

Former Name (1)Martha Suzanne Rose Fnp

Other Identifiers 1

Medicaid164W00000XOH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Martha Suzanne Kelly Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072906254
PECOS Enrollment IDI20251104003285
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 Billing Reassignments

2

Medicare enrollment records show Martha Kelly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
909 RIDGEBROOK RD STE 220
Sparks, MD 21152
  • Reassigned Medicare billing, Ohio and West Virginia enrollments
  • 80 clinicians in this Medicare group
Internal Medicine
2020 CALAMOS CT STE 250
Naperville, IL 60563
  • Reassigned Medicare billing, Ohio enrollment
  • 54 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21152 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 16

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

Nurse Practitioner
909 RIDGEBROOK RD STE 300
SPARKS, MD 21152
Nurse Practitioner (Family)
909 RIDGEBROOK RD STE 300
SPARKS, MD 21152
Nurse Practitioner (Family)
909 RIDGEBROOK RD STE 300
SPARKS, MD 21152
Nurse Practitioner
909 RIDGEBROOK RD STE 300
SPARKS, MD 21152
Nurse Practitioner (Family)
909 RIDGEBROOK RD STE 300
SPARKS, MD 21152
Nurse Practitioner (Family)
909 RIDGEBROOK RD STE 300
SPARKS, MD 21152
Nurse Practitioner
909 RIDGEBROOK RD STE 300
SPARKS GLENCOE, MD 21152
Nurse Practitioner (Family)
909 RIDGEBROOK RD STE 300
SPARKS, MD 21152

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 Martha Kelly's NPI number?

The NPI number for Martha Kelly is 1346590361. It was assigned to this individual provider in the NPPES registry on September 17, 2012. The provider is also known as Martha Suzanne Rose Fnp.

Where is Martha Kelly located?

Martha Kelly practices at 909 Ridgebrook Rd Ste 300, Sparks, MD 21152. The listed phone number is (441) 383-9300.

What is Martha Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Martha Kelly enrolled in Medicare?

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

Which organizations bill Medicare for Martha Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Martha Kelly reassigns Medicare benefits to 2 organizations: Consonant Healing Associates Of De LLC (Sparks, MD) and Healing Partners Plus PLLC (Naperville, IL). Each 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 Martha Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Martha Kelly accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Martha 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 Martha Kelly was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.