MISS REBECCA L KELLY APN
NPI 1710443049
Nurse Practitioner - Family in Marlton, NJ

Active since February 12, 2019PECOS EnrolledAccepts Medicare Assignment
750 ROUTE 73 S STE 401, MARLTON, NJ 08053(856) 375-1288 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 20, 2020, Oct 12, 2020, Feb 12, 2019 (3 updates tracked since 2019).

About Miss Rebecca L Kelly Apn NPPES

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

MISS REBECCA L KELLY APN (NPI 1710443049) is an individual family provider in Marlton, New Jersey, licensed in New Jersey (26NJ00897600) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1710443049
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS REBECCA L KELLYCredential: APN
Location Address750 ROUTE 73 S STE 401Marlton, NJ 08053-4145
Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · (856) 355-0340 · Fax (856) 355-0330
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 12, 2019
Last NPPES UpdateOctober 20, 20203 updates tracked since enumeration
NPPES CertifiedOctober 20, 2020
✔ NPI 1710443049 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 NJ · 26NJ00897600
750 ROUTE 73 S STE 401, Marlton, NJ 08053

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

Miss Rebecca L Kelly Apn 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 ID4284975913
PECOS Enrollment IDI20190408000772
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

2

Medicare enrollment records show Rebecca Kelly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
401 ROUTE 73 N STE 320
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 909 clinicians in this Medicare group
Family Medicine
301 LIPPINCOTT DR STE 410
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,074 clinicians in this Medicare group

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.

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 Rebecca Kelly's NPI number?

The NPI number for Rebecca Kelly is 1710443049. It was assigned to this individual provider in the NPPES registry on February 12, 2019.

Where is Rebecca Kelly located?

Rebecca Kelly practices at 750 Route 73 S Ste 401, Marlton, NJ 08053. The listed phone number is (856) 375-1288.

What is Rebecca Kelly's specialty?

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

Is Rebecca Kelly enrolled in Medicare?

Yes. Rebecca 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.

Which organizations bill Medicare for Rebecca Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Kelly reassigns Medicare benefits to 2 organizations: Advocare, LLC (Marlton, NJ) and Virtua Medical Group, PA (Marlton, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rebecca Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rebecca Kelly was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.