CRISTIN MAURA KELLY PA-C
NPI 1538575766
Physician Assistant - Medical in Randolph, NJ

Active since July 08, 2014PECOS EnrolledAccepts Medicare Assignment
93.76/100
CMS Quality Rating
390 ROUTE 10 W, SUITE 102, RANDOLPH, NJ 07869(973) 366-6303 Get Directions Write a Review

NPPES record last updated: November 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 10, 2015, Sep 30, 2015 (2 updates tracked since 2015).

About Cristin Maura Kelly Pa-c NPPES

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

CRISTIN MAURA KELLY PA-C (NPI 1538575766) is an individual medical provider in Randolph, New Jersey, licensed in New Jersey (25MP00337900) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1538575766
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCRISTIN MAURA KELLYCredential: PA-C
Location Address390 ROUTE 10 W, SUITE 102Randolph, NJ 07869-2141
Mailing Address136 Woodside AveNewton, NJ 07860-2313 · (973) 300-0555
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 8, 2014
Last NPPES UpdateNovember 10, 20152 updates tracked since enumeration
NPI 1538575766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NJ · 25MP00337900
390 ROUTE 10 W, Randolph, NJ 07869

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

Cristin Maura Kelly Pa-c 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 ID8729208012
PECOS Enrollment IDI20141009000315
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
435 services102 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
282 services219 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
172 services135 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
94 services83 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
56 services48 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
43 services16 patients

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.

93.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.66
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Obstetrics & Gynecology
390 ROUTE 10 W, SUITE 1
RANDOLPH, NJ 07869
Dermatology (MOHS-Micrographic Surgery)
390 ROUTE 10 W, SUITE 102
RANDOLPH, NJ 07869

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 Cristin Kelly's NPI number?

The NPI number for Cristin Kelly is 1538575766. It was assigned to this individual provider in the NPPES registry on July 8, 2014.

Where is Cristin Kelly located?

Cristin Kelly practices at 390 Route 10 W Suite 102, Randolph, NJ 07869. The listed phone number is (973) 366-6303.

What is Cristin Kelly's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Cristin Kelly enrolled in Medicare?

Yes. Cristin Kelly 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.

When was this NPI record last updated?

The NPPES record for Cristin Kelly was last updated on November 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.