KELLY KILROY
NPI 1578915989
Nurse Practitioner in Newark, NJ

Q: What is Kelly Kilroy's NPI number?

The NPI number for Kelly Kilroy is 1578915989. It was assigned to this individual provider in the NPPES registry on July 9, 2016.

Q: What is Kelly Kilroy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Kilroy was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 July 09, 2016PECOS Enrolled

1 GATEWAY CTR STE 2600, NEWARK, NJ 07102(888) 731-8994 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 3, 2016, Aug 25, 2016 (2 updates tracked since 2016).

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About Kelly Kilroy NPPES

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

KELLY KILROY (NPI 1578915989) is an individual nurse practitioner in Newark, New Jersey, licensed in New Jersey (26NJ00662800) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578915989

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKELLY KILROY

Location Address1 GATEWAY CTR STE 2600Newark, NJ 07102-5323

Mailing Address300 Church RdMarmora, NJ 08223-1253 · (609) 425-4321

Phone(888) 731-8994

Sole ProprietorNo

Enumeration DateJuly 9, 2016

Last NPPES UpdateAugust 18, 20252 updates tracked since enumeration

NPPES CertifiedAugust 18, 2025

✔ NPI 1578915989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NJ · 26NJ00662800

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 26NR13811900 (NJ)

1 GATEWAY CTR STE 2600, Newark, NJ 07102

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Kilroy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Medicare enrollment records show Kelly Kilroy reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Active Health Marlton LLC

70 mi

Family Medicine

601 ROUTE 73 N STE 104
Marlton, NJ 08053

Reassigned Medicare billing, New Jersey enrollment
17 clinicians in this Medicare group

NPI 1265161905 (609) 886-8585

Atlanticare Health Services Inc.

89 mi

Federally Qualified Health Center (FQHC)

54 W JIMMIE LEEDS RD
Galloway, NJ 08205

Reassigned Medicare billing, New Jersey enrollment
105 clinicians in this Medicare group

NPI 1043700495 (609) 404-7300

Ronald C. Gove, MD, PA

97 mi

Internal Medicine

222 NEW RD, CENTRAL PARK EAST
Linwood, NJ 08221

Reassigned Medicare billing, New Jersey enrollment
6 clinicians in this Medicare group

NPI 1417919176 (609) 927-9790

Active Health Marmora LLC

105 mi

Family Medicine

16 ROOSEVELT BLVD
Marmora, NJ 08223

Reassigned Medicare billing, New Jersey enrollment
16 clinicians in this Medicare group

NPI 1629707369 (609) 886-8585

Regenerative Medicine Of South Jersey LLC

125 mi

Family Medicine

1501 ROUTE 47
Rio Grande, NJ 08242

Reassigned Medicare billing, New Jersey enrollment
25 clinicians in this Medicare group

NPI 1992342109 (605) 224-1576

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 07102 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

MR. MICHAEL C CADORETTE ANP

Nurse Practitioner (Family)