WILLIAM JAMES KELLY FNP-C
NPI 1629574637
Nurse Practitioner in Marlton, NJ

Q: What is William Kelly's NPI number?

The NPI number for William Kelly is 1629574637. It was assigned to this individual provider in the NPPES registry on March 30, 2018.

Q: What is William Kelly'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 William Kelly was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 March 30, 2018PECOS Enrolled

103 ROUTE 70 E STE 2, MARLTON, NJ 08053(856) 588-7409(407) 550-3923 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 11, 2026, Jun 3, 2025, Mar 29, 2023 and 3 more (6 updates tracked since 2018).

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About William James Kelly Fnp-c NPPES

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

WILLIAM JAMES KELLY FNP-C (NPI 1629574637) is an individual nurse practitioner in Marlton, New Jersey, licensed in New Jersey (26NJ00812800) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1629574637

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameWILLIAM JAMES KELLYCredential: FNP-C

Location Address103 ROUTE 70 E STE 2Marlton, NJ 08053-1890

Mailing Address2725 Sand Arbor CirOrlando, FL 32824-4761 · (407) 565-9597 · Fax (407) 550-3923

Phone(856) 588-7409

Fax(407) 550-3923

Sole ProprietorNo

Enumeration DateMarch 30, 2018

Last NPPES UpdateMarch 11, 20266 updates tracked since enumeration

NPPES CertifiedMarch 11, 2026

✔ NPI 1629574637 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 · 26NJ00812800

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 ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License F351539-01 (NY), SP028681 (PA), 11014255 (FL), 262907 (AZ)

103 ROUTE 70 E STE 2, Marlton, NJ 08053

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Secondary Practice Locations 6

Location 1240 W 37th St Fl 5New York, NY 10018-5787 · Phone (917) 720-0288 · Fax (407) 550-3923

Location 2150 Monument Rd Ste 207Bala Cynwyd, PA 19004-1725 · Phone (610) 680-2051 · Fax (407) 550-3923

Location 32725 Sand Arbor CirOrlando, FL 32824-4761 · Phone (407) 565-9597 · Fax (407) 550-3923

Location 4479 Route 520, Suite B201Marlboro, NJ 07746 · Phone (856) 588-7409 · Fax (407) 550-3923

Location 55800 Corporate Dr Ste 300Pittsburgh, PA 15237-7098 · Phone (412) 550-3709 · Fax (407) 550-3923

Location 63425 Simpson Ferry Rd Ste 100Camp Hill, PA 17011-6405 · Phone (223) 488-4700 · Fax (407) 550-3923

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William James Kelly Fnp-c 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 Reassignment

Medicare enrollment records show William Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Circle Medical Care Group Of New Jersey PC

4.5 mi

Family Medicine

525 ROUTE 73 N STE 117
Marlton, NJ 08053

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

NPI 1578304242 (888) 803-3370

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 08053 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

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

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 6

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

LIFEFORCE MEDICAL NJ PC

Internal Medicine