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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.

KATIE KELLEY
NPI 1457156234
Physician Assistant in Manchester, NH

Active since February 17, 2025PECOS Enrolled
1260 ELM ST, MANCHESTER, NH 03101(860) 385-3153 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 7, 2026, Feb 17, 2025 (2 updates tracked since 2025).

About Katie Kelley NPPES

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

KATIE KELLEY (NPI 1457156234) is an individual physician assistant in Manchester, New Hampshire and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hartford.

NPPES Registry Identity

NPI1457156234
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATIE KELLEY
Location Address1260 ELM STManchester, NH 03101-1305
Mailing Address1260 Elm StManchester, NH 03101-1305
Phone(860) 385-3153
Sole ProprietorNo
Enumeration DateFebruary 17, 2025
Last NPPES UpdateAugust 7, 20262 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1457156234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 7693 (CT)
1260 ELM ST, Manchester, NH 03101
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Secondary Practice Location 1

Location 1282 Washington StHartford, CT 06106-3322 · Phone (860) 545-9000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katie 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03101 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
Most-billed visit code 99213
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 20

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

SABRINA ACCARDI
Student in an Organized Health Care Education/Training Program
1260 ELM ST
MANCHESTER, NH 03101
Hillsborough County (603) 314-1701
SAMANTHA MAY TYRRELL PA
Student in an Organized Health Care Education/Training Program
1260 ELM ST
MANCHESTER, NH 03101
Hillsborough County (401) 862-6636
BETSY GARNICK PA
Physician Assistant
1260 ELM ST
MANCHESTER, NH 03101
Hillsborough County (603) 314-1701
MR. THOMAS KYSOR
Physician Assistant
1260 ELM ST
MANCHESTER, NH 03101
Hillsborough County (603) 801-1412
EMILY FREID
Physician Assistant
1260 ELM ST
MANCHESTER, NH 03101
Hillsborough County (978) 764-2000
KRISTINE WILLETT PHARM.D.
Pharmacist
1260 ELM ST
MANCHESTER, NH 03101
Hillsborough County (603) 314-1778
JANET STAMMELY LICSW
Social Worker (Clinical)
1260 ELM ST
MANCHESTER, NH 03101
Hillsborough County (603) 314-1781
CHRISTOPHER WHITNEY
Physician Assistant (Medical)
1260 ELM ST
MANCHESTER, NH 03101
Hillsborough County (603) 314-1701

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 Katie Kelley's NPI number?

The NPI number for Katie Kelley is 1457156234. It was assigned to this individual provider in the NPPES registry on February 17, 2025.

Where is Katie Kelley located?

Katie Kelley practices at 1260 Elm St, Manchester, NH 03101. The listed phone number is (860) 385-3153.

What is Katie Kelley's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Katie Kelley enrolled in Medicare?

Yes. Katie Kelley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katie Kelley was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 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.