MIRANDA KELLY
NPI 1609553262
Physician Assistant in Newark, DE
About Miranda Kelly NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIRANDA KELLY (NPI 1609553262) is an individual physician assistant in Newark, Delaware, licensed in Delaware (C5-0012155) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Miranda Kelly 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19718 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.
NEWARK, DE 19718
NEWARK, DE 19718
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 Miranda Kelly's NPI number?
The NPI number for Miranda Kelly is 1609553262. It was assigned to this individual provider in the NPPES registry on July 5, 2023.
Where is Miranda Kelly located?
Miranda Kelly practices at 4755 Ogletown Stanton Road Suite 5a43, Newark, DE 19718. The listed phone number is (302) 623-0188.
What is Miranda Kelly's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Miranda Kelly enrolled in Medicare?
Yes. Miranda 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 Miranda Kelly was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Miranda Kelly · NPI 1609553262
Physician Assistant physician in Newark, Delaware. Individual provider, active in the CMS NPPES registry since July 5, 2023.
## Identity
- **NPI:** 1609553262 (Entity type: Individual)
- **Enumerated:** July 5, 2023
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** C5-0012155 (Delaware)
- **Sole proprietor:** No
## Practice location
- **Address:** 4755 OGLETOWN STANTON ROAD, SUITE 5A43, Newark, DE 19718-2200
- **Phone:** (302) 623-0188 · **Fax:** (302) 733-5640
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1609553262) · Data from the CMS NPPES public registry.