TYLA NICOLE KELLEY
NPI 1679352207
Physician Assistant in York, ME
About Tyla Nicole Kelley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYLA NICOLE KELLEY (NPI 1679352207) is an individual physician assistant in York, Maine, licensed in Maine (PA2924) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with York Hospital, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Tyla Nicole Kelley 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
York Hospital
Acute Care Hospitals · York, MEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 03909 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tyla Kelley's NPI number?
The NPI number for Tyla Kelley is 1679352207. It was assigned to this individual provider in the NPPES registry on September 25, 2023.
Where is Tyla Kelley located?
Tyla Kelley practices at 3 Loving Kindness Way, York, ME 03909. The listed phone number is (843) 819-2310.
What is Tyla Kelley's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Tyla Kelley enrolled in Medicare?
Yes. Tyla Kelley 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.
What insurance does Tyla Kelley accept?
Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Tyla Kelley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Tyla Kelley affiliated with any hospitals?
According to CMS data, Tyla Kelley is affiliated with York Hospital.
When was this NPI record last updated?
The NPPES record for Tyla Kelley was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Tyla Nicole Kelley · NPI 1679352207
Physician Assistant physician in York, Maine. Individual provider, active in the CMS NPPES registry since September 25, 2023.
## Identity
- **NPI:** 1679352207 (Entity type: Individual)
- **Enumerated:** September 25, 2023
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA2924 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 3 LOVING KINDNESS WAY, York, ME 03909
- **Phone:** (843) 819-2310
## 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 2025
## Record status
- **NPPES last updated:** September 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1679352207) · Data from the CMS NPPES public registry.