KELLY MARIE TRAVITZ PHYSICIAN ASSISTANT
NPI 1760161798
Physician Assistant in Newark, DE

Active since July 17, 2023
412 SUBURBAN DR, NEWARK, DE 19711(443) 553-6114(302) 738-4749 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 1, 2026, Jul 17, 2023 (2 updates tracked since 2023).

About Kelly Marie Travitz Physician Assistant NPPES

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

KELLY MARIE TRAVITZ PHYSICIAN ASSISTANT (NPI 1760161798) is an individual physician assistant in Newark, Delaware and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1760161798
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY MARIE TRAVITZCredential: PHYSICIAN ASSISTANT
Location Address412 SUBURBAN DRNewark, DE 19711-3564
Mailing Address1510 Delaware Ave Apt A2cWilmington, DE 19806-3043 · (410) 603-2788
Fax(302) 738-4749
Sole ProprietorNo
Enumeration DateJuly 17, 2023
Last NPPES UpdateMay 1, 20262 updates tracked since enumeration
NPPES CertifiedMay 1, 2026
NPI 1760161798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
412 SUBURBAN DR, Newark, DE 19711

Other Providers at the Same Location NPPES 3

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

Internal Medicine
412 SUBURBAN DR
NEWARK, DE 19711
Family Medicine (Adult Medicine)
412 SUBURBAN DR
NEWARK, DE 19711
Family Medicine
412 SUBURBAN DR
NEWARK, DE 19711

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 Kelly Travitz's NPI number?

The NPI number for Kelly Travitz is 1760161798. It was assigned to this individual provider in the NPPES registry on July 17, 2023.

Where is Kelly Travitz located?

Kelly Travitz practices at 412 Suburban Dr, Newark, DE 19711. The listed phone number is (443) 553-6114.

What is Kelly Travitz's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kelly Travitz was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.