MRS. STACY LYNNE KELLY NP
NPI 1619514742
Nurse Practitioner - Family in Pittsburgh, PA

Q: What is Stacy Kelly's NPI number?

The NPI number for Stacy Kelly is 1619514742. It was assigned to this individual provider in the NPPES registry on December 9, 2019.

Q: What is Stacy Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Kelly was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 December 09, 2019PECOS EnrolledAccepts Medicare Assignment

1145 BOWER HILL RD STE 105, PITTSBURGH, PA 15243(412) 572-6194(412) 572-6195 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 15, 2026, Feb 22, 2023, Mar 4, 2021 and 1 more (4 updates tracked since 2019).

On this page

About Mrs. Stacy Lynne Kelly Np NPPES

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

MRS. STACY LYNNE KELLY NP (NPI 1619514742) is an individual family provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (SP020956) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, is affiliated with St Clair Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619514742

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. STACY LYNNE KELLYCredential: NP

Location Address1145 BOWER HILL RD STE 105Pittsburgh, PA 15243-1346

Mailing Address1000 Bower Hill Road, St Clair Hospital - Affiliate Billing - PamalynPittsburgh, PA 15243-1873 · (412) 924-2548

Phone(412) 572-6194

Fax(412) 572-6195

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateDecember 9, 2019

Last NPPES UpdateJanuary 15, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2026

✔ NPI 1619514742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in PA · SP020956

1145 BOWER HILL RD STE 105, Pittsburgh, PA 15243

Open in Google Maps ↗

Secondary Practice Locations 2

Location 12375 Greentree RdCarnegie, PA 15106-4203 · Phone (412) 531-2902 · Fax (412) 531-2948

Location 2161 Cecil B Moore Ave Apt 204Philadelphia, PA 19122-3243 · Phone (866) 306-2026

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

Mrs. Stacy Lynne Kelly Np 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 ID3072949411

PECOS Enrollment IDI20200204001245

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 Stacy Kelly reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Preferred Primary Care Physicians

Same address

Family Medicine

1145 BOWER HILL RD, SUITE 204
Pittsburgh, PA 15243

Reassigned Medicare billing, Pennsylvania enrollment
110 clinicians in this Medicare group

NPI 1740529163 (412) 276-3050

St Clair Medical Services Inc

Same address

Urology

1145 BOWER HILL RD STE 105
Pittsburgh, PA 15243

Reassigned Medicare billing, Pennsylvania enrollment
307 clinicians in this Medicare group

NPI 1437455771 (412) 579-6194

Ophelia Medical Group Fl, P.A.

262 mi

Addiction Medicine

161 CECIL B MOORE AVE APT 204
Philadelphia, PA 19122

Reassigned Medicare billing, Pennsylvania enrollment
Medicare enrollment name: Ophelia Medical Group Fl PA
70 clinicians in this Medicare group

NPI 1588244750 (215) 585-2144

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

33 services28 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.

19 services19 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

14 services14 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Clair Hospital

Acute Care Hospitals · Pittsburgh, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390228

Location1000 Bower Hill RoadPittsburgh, PA 15243 · Allegheny County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15243 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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 13

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

DR. ARTHUR DUTTON THOMAS M.D.

Urology