MARY F KELLEY CRNP
NPI 1477876928
Nurse Practitioner - Gerontology in Philadelphia, PA

Q: What is Mary Kelley's NPI number?

The NPI number for Mary Kelley is 1477876928. It was assigned to this individual provider in the NPPES registry on March 11, 2010.

Q: What is Mary Kelley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Mary Kelley was last updated on April 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since March 11, 2010PECOS Enrolled

330 S 9TH ST, PHILADELPHIA, PA 19107(215) 829-3053 Get Directions Write a Review

NPPES record last updated: April 4, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mary F Kelley Crnp NPPES

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

MARY F KELLEY CRNP (NPI 1477876928) is an individual gerontology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (VP002188H) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477876928

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameMARY F KELLEYCredential: CRNP

Location Address330 S 9TH STPhiladelphia, PA 19107-6103

Mailing Address330 S 9th StPhiladelphia, PA 19107-6103 · (215) 829-3053

Phone(215) 829-3053

Sole ProprietorNo

Enumeration DateMarch 11, 2010

Last NPPES UpdateApril 4, 2014

✔ NPI 1477876928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in PA · VP002188H

330 S 9TH ST, Philadelphia, PA 19107

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Other Identifiers 1

Medicare UPINS47976PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary F Kelley Crnp 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 19107 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Canister, disposable, used with suction pump, each A7000

DME-Other DME · category DE000N

6 suppliers14 claims62 services$6.30 avg. paid by Medicare

Tubing, used with suction pump, each A7002

DME-Other DME · category DE000N

6 suppliers14 claims100 services$3.02 avg. paid by Medicare

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034

Other-Enteral and Parenteral · category OB006N

6 suppliers77 claims2,317 services$2.61 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

3 suppliers27 claims785 services$4.23 avg. paid by Medicare

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150

Other-Enteral and Parenteral · category OB006N

2 suppliers34 claims18,517 services$0.32 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

7 suppliers40 claims24,029 services$0.28 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

NABILA A DAHODWALA MD

Psychiatry & Neurology (Neurology)

330 S 9TH ST, 2ND FLOOR
PHILADELPHIA, PA 19107

Philadelphia County (215) 829-6708

GAVIN VILLACORTA CRNP

Nurse Practitioner