SHEDREA KELLY FNP
NPI 1356052666
Nurse Practitioner - Family in Rahway, NJ
About Shedrea Kelly Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHEDREA KELLY FNP (NPI 1356052666) is an individual family provider in Rahway, New Jersey, licensed in New Jersey (26NJ01399200) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital At Rahway, and is a graduate of Other (2022).
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 and accepts Medicare assignment
Shedrea Kelly Fnp 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.
Medicare Billing Reassignments
4Medicare enrollment records show Shedrea Kelly reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Livingston, NJ 07039
- Reassigned Medicare billing, New Jersey enrollment
- 1,913 clinicians in this Medicare group
Somerset, NJ 08873
- Reassigned Medicare billing, New Jersey enrollment
- 1,557 clinicians in this Medicare group
Hazlet, NJ 07730
- Reassigned Medicare billing, New Jersey enrollment
- 142 clinicians in this Medicare group
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 160 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.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Robert Wood Johnson University Hospital At Rahway
Acute Care Hospitals · Rahway, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
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 Shedrea Kelly's NPI number?
The NPI number for Shedrea Kelly is 1356052666. It was assigned to this individual provider in the NPPES registry on December 7, 2022.
Where is Shedrea Kelly located?
Shedrea Kelly practices at 865 Stone St, Rahway, NJ 07065. The listed phone number is (609) 456-9891.
What is Shedrea Kelly's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shedrea Kelly enrolled in Medicare?
Yes. Shedrea 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.
Which organizations bill Medicare for Shedrea Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shedrea Kelly reassigns Medicare benefits to 4 organizations: Rwjbh Observation Associates LLC (Livingston, NJ), Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ), Immediate Care Medical Walk-In Of Hazlet, PA (Hazlet, NJ) and Urgent Care Physicians Of New Jersey, LLC (Red Bank, NJ). 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 Shedrea Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Shedrea Kelly affiliated with any hospitals?
According to CMS data, Shedrea Kelly is affiliated with Robert Wood Johnson University Hospital At Rahway.
When was this NPI record last updated?
The NPPES record for Shedrea Kelly was last updated on February 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Shedrea Kelly, FNP · NPI 1356052666
Family physician in Rahway, New Jersey. Individual provider, active in the CMS NPPES registry since December 7, 2022.
## Identity
- **NPI:** 1356052666 (Entity type: Individual)
- **Enumerated:** December 7, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ01399200 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 865 STONE ST, Rahway, NJ 07065-2742
- **Phone:** (609) 456-9891
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Rwjbh Observation Associates LLC (NPI 1760095806, Livingston, NJ); Rwjbh Emergency Medicine Associates, LLC (NPI 1912510041, Somerset, NJ); Immediate Care Medical Walk-In Of Hazlet, PA (NPI 1245595313, Hazlet, NJ); Urgent Care Physicians Of New Jersey, LLC (NPI 1447622402, Red Bank, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** February 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1356052666) · Data from the CMS NPPES public registry.