P A KELLY MD PLLC
NPI 1487189874
Internal Medicine - Interventional Cardiology in Missoula, MT

Q: What is P A Kelly MD PLLC's NPI number?

The NPI number for P A Kelly MD PLLC is 1487189874. It was assigned to this organization in the NPPES registry on April 24, 2017.

Q: What is P A Kelly MD PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for P A Kelly MD PLLC was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since April 24, 2017

2419 MULLAN RD STE A, MISSOULA, MT 59808(406) 541-1400(406) 541-1401 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 3, 2025, Dec 20, 2024, Apr 24, 2017 (3 updates tracked since 2017).

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About P A Kelly Md Pllc NPPES

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

P A KELLY MD PLLC (NPI 1487189874) is a healthcare organization registered as an interventional cardiology in Missoula, Montana and active in the NPI registry since April 2017. The organization lists Sherri Madzelonka, Prac, as its authorized official.

NPPES Registry Identity

NPI1487189874

Entity TypeOrganization

Primary Taxonomy207RI0011X

Legal Business NameP A KELLY MD PLLC

Location Address2419 MULLAN RD STE AMissoula, MT 59808-1856

Mailing AddressPo Box 6011Missoula, MT 59806-6011 · (406) 541-1400 · Fax (406) 541-1401

Phone(406) 541-1400

Fax(406) 541-1401

Organization SubpartNo

Authorized OfficialSherri MadzelonkaPrac · (406) 541-1400

Enumeration DateApril 24, 2017

Last NPPES UpdateFebruary 3, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 28, 2025

✔ NPI 1487189874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in MT · 11020

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

2419 MULLAN RD STE A, Missoula, MT 59808

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

P A Kelly Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to P A Kelly MD PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Patricia Kelly, MD

Cardiovascular Disease (Cardiology)

NPI 1831149269

2419 MULLAN RD STE A
Missoula, MT 59808

(406) 541-1400

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 P A Kelly MD PLLC's NPI number?

The NPI number for P A Kelly MD PLLC is 1487189874. It was assigned to this organization in the NPPES registry on April 24, 2017.

Where is P A Kelly MD PLLC located?

P A Kelly MD PLLC is located at 2419 Mullan Rd Ste A, Missoula, MT 59808. The listed phone number is (406) 541-1400.

What is P A Kelly MD PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is P A Kelly MD PLLC enrolled in Medicare?

Yes. P A Kelly MD PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through P A Kelly MD PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to P A Kelly MD PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does P A Kelly MD PLLC accept?

Health plans from Blue Cross and Blue Shield of Montana list P A Kelly MD PLLC 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 P A Kelly MD PLLC was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.