KAITLIN KELLEY PMHNP
NPI 1508503012
Nurse Practitioner - Psychiatric/Mental Health in Providence, RI
About Kaitlin Kelley Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAITLIN KELLEY PMHNP (NPI 1508503012) is an individual psychiatric/mental health provider in Providence, Rhode Island, licensed in Rhode Island (APRN03091) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Kaitlin Kelley Pmhnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Kaitlin Kelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Providence, RI 02904
- Reassigned Medicare billing, Rhode Island enrollment
- 13 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 02904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Kaitlin Kelley's NPI number?
The NPI number for Kaitlin Kelley is 1508503012. It was assigned to this individual provider in the NPPES registry on May 16, 2022.
Where is Kaitlin Kelley located?
Kaitlin Kelley practices at 845 N Main St, Providence, RI 02904. The listed phone number is (401) 648-7172.
What is Kaitlin Kelley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kaitlin Kelley enrolled in Medicare?
Yes. Kaitlin 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 organization bills Medicare for Kaitlin Kelley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlin Kelley reassigns Medicare benefits to Koann Therapeutic Services Inc (Providence, RI). The 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 Kaitlin Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kaitlin Kelley accept?
Health plans from Harvard Pilgrim Health Care list Kaitlin 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 Kaitlin Kelley was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Kaitlin Kelley, PMHNP · NPI 1508503012
Psychiatric/Mental Health physician in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since May 16, 2022.
## Identity
- **NPI:** 1508503012 (Entity type: Individual)
- **Enumerated:** May 16, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** APRN03091 (Rhode Island)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 845 N MAIN ST, Providence, RI 02904-5700
- **Phone:** (401) 648-7172
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Koann Therapeutic Services Inc (NPI 1639843303, Providence, RI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 14, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1508503012) · Data from the CMS NPPES public registry.