LISA KELLEY CNM
NPI 1497214043
Advanced Practice Midwife in Manchester, CT

Active since March 13, 2019PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
192 E CENTER ST, MANCHESTER, CT 06040(888) 607-0046 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2022, Apr 3, 2019, Mar 13, 2019 (3 updates tracked since 2019).

About Lisa Kelley Cnm NPPES

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

LISA KELLEY CNM (NPI 1497214043) is an individual advanced practice midwife in Manchester, Connecticut, licensed in Connecticut (551) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1497214043
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameLISA KELLEYCredential: CNM
Location Address192 E CENTER STManchester, CT 06040-5210
Mailing Address63 Main StBrockton, MA 02301-4042
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 13, 2019
Last NPPES UpdateJune 12, 20263 updates tracked since enumeration
NPPES CertifiedJune 12, 2026
✔ NPI 1497214043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
Licenses✔ Licensed in CT · 551✔ Licensed in MA · RN2329969
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
192 E CENTER ST, Manchester, CT 06040

Secondary Practice Locations 2

Location 1119 Belmont StWorcester, MA 01605-2903 · Phone (508) 334-0550
Location 263 Main StBrockton, MA 02301-4042 · Phone (508) 559-6699

Accepted Insurance

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

Lisa Kelley Cnm 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.

PECOS PAC ID7315277654
PECOS Enrollment IDI20190930000453
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

2

Medicare enrollment records show Lisa Kelley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
175 CAPITAL BLVD STE 300
Rocky Hill, CT 06067
  • Reassigned Medicare billing, Connecticut enrollment
  • 371 clinicians in this Medicare group
Urgent Care
78 SUTTON AVE
Oxford, MA 01540
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,902 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06040 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Advanced Practice Midwife
192 E CENTER ST
MANCHESTER, CT 06040
Dentist (General Practice)
192 E CENTER ST
MANCHESTER, CT 06040
Advanced Practice Midwife
192 E CENTER ST
MANCHESTER, CT 06040
Physician Assistant
192 E CENTER ST
MANCHESTER, CT 06040
Physician Assistant
192 E CENTER ST
MANCHESTER, CT 06040
Nurse Practitioner (Family)
192 E CENTER ST
MANCHESTER, CT 06040
Advanced Practice Midwife
192 E CENTER ST
MANCHESTER, CT 06040

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 Lisa Kelley's NPI number?

The NPI number for Lisa Kelley is 1497214043. It was assigned to this individual provider in the NPPES registry on March 13, 2019.

Where is Lisa Kelley located?

Lisa Kelley practices at 192 E Center St, Manchester, CT 06040. The listed phone number is (888) 607-0046.

What is Lisa Kelley's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Lisa Kelley enrolled in Medicare?

Yes. Lisa Kelley 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 Lisa Kelley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Kelley reassigns Medicare benefits to 2 organizations: Physicians For Women's Health LLC (Rocky Hill, CT) and Umass Memorial Medical Group, Inc. (Oxford, MA). 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 Lisa Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Kelley accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Lisa Kelley 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 Lisa Kelley was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.