KAITLIN KELLEY PMHNP
NPI 1508503012
Nurse Practitioner - Psychiatric/Mental Health in Providence, RI

Active since May 16, 2022PECOS EnrolledAccepts Medicare Assignment
845 N MAIN ST, PROVIDENCE, RI 02904(401) 648-7172 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 14, 2024, May 16, 2022 (2 updates tracked since 2022).

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

NPI1508503012
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKAITLIN KELLEYCredential: PMHNP
Location Address845 N MAIN STProvidence, RI 02904-5700
Mailing Address105 Washington St Apt 403Brighton, MA 02135-4377 · (401) 855-5923
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMay 16, 2022
Last NPPES UpdateNovember 14, 20242 updates tracked since enumeration
NPPES CertifiedNovember 14, 2024
NPI 1508503012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in RI · APRN03091
845 N MAIN ST, Providence, RI 02904

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID1759807175
PECOS Enrollment IDI20250429002277
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 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.

New Patient
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

Social Worker
845 N MAIN ST
PROVIDENCE, RI 02904
Internal Medicine
845 N MAIN ST, STE 5
PROVIDENCE, RI 02904
Counselor (Mental Health)
845 N MAIN ST
PROVIDENCE, RI 02904
Social Worker (Clinical)
845 N MAIN ST
PROVIDENCE, RI 02904
Otolaryngology
845 N MAIN ST, SUIT 1
PROVIDENCE, RI 02904
Dermatology
845 N MAIN ST, SUITE 3
PROVIDENCE, RI 02904
Behavior Analyst
845 N MAIN ST
PROVIDENCE, RI 02904
Physician Assistant
845 N MAIN ST, SUITE 3
PROVIDENCE, RI 02904

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.

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 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.