TIMOTHY KILKELLY CRNP, PMHNP-BC
NPI 1700591732
Nurse Practitioner - Psychiatric/Mental Health in Philadelphia, PA

Q: What is Timothy Kilkelly's NPI number?

The NPI number for Timothy Kilkelly is 1700591732. It was assigned to this individual provider in the NPPES registry on January 13, 2023.

Q: What is Timothy Kilkelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Kilkelly was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 January 13, 2023PECOS EnrolledAccepts Medicare Assignment

1700 MARKET ST STE 1005, PHILADELPHIA, PA 19103(855) 444-7258(877) 261-8495 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 6, 2025, Apr 7, 2023, Jan 13, 2023 (3 updates tracked since 2023).

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About Timothy Kilkelly Crnp, Pmhnp-bc NPPES

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

TIMOTHY KILKELLY CRNP, PMHNP-BC (NPI 1700591732) is an individual psychiatric/mental health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP028993) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1700591732

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameTIMOTHY KILKELLYCredential: CRNP, PMHNP-BC

Location Address1700 MARKET ST STE 1005Philadelphia, PA 19103-3920

Mailing Address1700 Market St Ste 1005Philadelphia, PA 19103-3920 · (855) 444-7258 · Fax (877) 261-8495

Phone(855) 444-7258

Fax(877) 261-8495

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJanuary 13, 2023

Last NPPES UpdateNovember 6, 20253 updates tracked since enumeration

NPPES CertifiedNovember 6, 2025

✔ NPI 1700591732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in PA · SP028993

Also ListedRegistered NurseTaxonomy 163W00000X · License RN721134 (PA)

1700 MARKET ST STE 1005, Philadelphia, PA 19103

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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 and accepts Medicare assignment

Timothy Kilkelly Crnp, Pmhnp-bc 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 ID4183163116

PECOS Enrollment IDI20240822000945

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 Timothy Kilkelly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Riddle Psychiatry, LLC

19 mi

Psychiatry

1570 MCDANIEL DR
West Chester, PA 19380

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

NPI 1265702567 (484) 444-2151

Moonshot Psychiatric Nurse Practitioner PC

2,380 mi

Psychiatric/Mental Health

4803 FREMONT AVE N
Seattle, WA 98103

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

NPI 1669158879 (855) 444-7258

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 3

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

69 services27 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

52 services32 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

33 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19103 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

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