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KELLEY LAVINE APRN
NPI 1477867455
Nurse Practitioner - Neonatal, Critical Care in Worcester, MA

Active since August 02, 2010PECOS Enrolled
119 BELMONT ST, WORCESTER, MA 01605(508) 334-6206(508) 334-6083 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 30, 2021, Feb 8, 2021, Aug 29, 2019 (3 updates tracked since 2019).

About Kelley Lavine Aprn NPPES

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

KELLEY LAVINE APRN (NPI 1477867455) is an individual neonatal, critical care provider in Worcester, Massachusetts, licensed in Massachusetts (RN246110) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477867455
Entity TypeIndividualFemale
Primary Taxonomy363LN0005X
Provider Legal NameKELLEY LAVINECredential: APRN
Location Address119 BELMONT STWorcester, MA 01605-2903
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Phone(508) 334-6206
Fax(508) 334-6083
Sole ProprietorNo
Enumeration DateAugust 2, 2010
Last NPPES UpdateMarch 30, 20213 updates tracked since enumeration
NPPES CertifiedMarch 30, 2021
✔ NPI 1477867455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0005X
License✔ Licensed in MA · RN246110
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN246110 (MA)
Also ListedNurse Practitioner · NeonatalTaxonomy 363LN0000X · License APRN01247 (RI)
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License CNPP37216 (RI)
119 BELMONT ST, Worcester, MA 01605
Open in Google Maps ↗

Other Names 1

Former Name (1)Kelley Mockus Rnp

Other Identifiers 1

Medicaid110127839AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelley Lavine Aprn 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 Billing Reassignments

3

Medicare enrollment records show Kelley Lavine reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Umass Memorial Medical Group Inc
1.7 mi
Internal Medicine
55 LAKE AVE N
Worcester, MA 01655
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,902 clinicians in this Medicare group
NPI 1760445373 (508) 334-1000
Day Kimball Medical Group Inc
26 mi
Family Medicine
320 POMFRET STREET
Putnam, CT 06260
  • Reassigned Medicare billing, Connecticut enrollment
  • 163 clinicians in this Medicare group
NPI 1376813972 (860) 928-6541
Connecticut Children's Specialty Group, Inc.
58 mi
Pediatrics
282 WASHINGTON ST
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 601 clinicians in this Medicare group
NPI 1669448882 (860) 545-9000

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 01605 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 20

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

DR. PANKAJ ANIL KSHEERSAGAR M.B.B.S.,M.D
Family Medicine
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-5571
JASON D YANG
Internal Medicine (Rheumatology)
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-5224
SANDRA BELLINI N.P.
Nurse Practitioner (Neonatal, Critical Care)
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-6470
BENJAMIN D. HAMAR MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-0550
WALTER J ZAWACKI NP
Nurse Practitioner
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-8934
CARYN SULLIVAN LCSW
Social Worker
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-1000
WAYNE WAYFU CHAN M.D.
Orthopaedic Surgery
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-9750
NICHOLAS PAICOS PA STUDENT
Physician Assistant
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-8515

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 Kelley Lavine's NPI number?

The NPI number for Kelley Lavine is 1477867455. It was assigned to this individual provider in the NPPES registry on August 2, 2010. The provider is also known as Kelley Mockus Rnp.

Where is Kelley Lavine located?

Kelley Lavine practices at 119 Belmont St, Worcester, MA 01605. The listed phone number is (508) 334-6206.

What is Kelley Lavine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

Is Kelley Lavine enrolled in Medicare?

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

Which organizations bill Medicare for Kelley Lavine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Lavine reassigns Medicare benefits to 3 organizations: Umass Memorial Medical Group Inc (Worcester, MA), Day Kimball Medical Group Inc (Putnam, CT) and Connecticut Children's Specialty Group, Inc. (Hartford, CT). 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 Kelley Lavine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelley Lavine accept?

Health plans from Taro Health list Kelley Lavine 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 Kelley Lavine was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.