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MRS. NICOLE K KELLY PA
NPI 1760787709
Physician Assistant in Goshen, NY

Active since January 24, 2011PECOS Enrolled
30 HATFIELD LN, STE 109, GOSHEN, NY 10924(845) 692-3111(845) 294-0118 Get Directions Write a Review

NPPES record last updated: November 20, 2014. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Mrs. Nicole K Kelly Pa NPPES

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

MRS. NICOLE K KELLY PA (NPI 1760787709) is an individual physician assistant in Goshen, New York, licensed in New York (014253) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760787709
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. NICOLE K KELLYCredential: PA
Location Address30 HATFIELD LN, STE 109Goshen, NY 10924-6766
Mailing Address2 Coates DrGoshen, NY 10924-6758 · (845) 651-1412 · Fax (845) 651-1512
Phone(845) 692-3111
Fax(845) 294-0118
Sole ProprietorNo
Enumeration DateJanuary 24, 2011
Last NPPES UpdateNovember 20, 2014
✔ NPI 1760787709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 014253
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.
30 HATFIELD LN, Goshen, NY 10924
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Other Names 1

Former Name (1)Miss Nicole K Falco Pa

Other Identifiers 1

Other1095483NY · Certification

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Nicole K Kelly Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10924 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
Most-billed visit code 99213
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.

JILL PETRY P.T.
Physical Therapist
30 HATFIELD LN, SUITE 201
GOSHEN, NY 10924
Orange County (845) 294-0779
MARLENE A JANKER M.S.P.T.
Physical Therapist
30 HATFIELD LN, SUITE 201
GOSHEN, NY 10924
Orange County (845) 291-3665
TINA D ROSS D.C.
Chiropractor
30 HATFIELD LN, SUITE 101
GOSHEN, NY 10924
Orange County (845) 294-8134
GREGORY REDDING DPT
Physical Therapist
30 HATFIELD LN, SUITE 203
GOSHEN, NY 10924
Orange County (845) 615-2222
LINDA S KELLER FNP
Nurse Practitioner (Family)
30 HATFIELD LN, SUITE 105
GOSHEN, NY 10924
Orange County (845) 291-7400
SERGIO HENRY OBLIGADO MD
Internal Medicine (Nephrology)
30 HATFIELD LN, SUITE 208
GOSHEN, NY 10924
Orange County (845) 294-0994
REGIONAL NEPHROLOGY PLLC
Internal Medicine (Nephrology)
30 HATFIELD LN, SUITE 208
GOSHEN, NY 10924
Orange County (845) 294-0994
MADELEINE BANULSKI ZIEGLER NP
Nurse Practitioner (Adult Health)
30 HATFIELD LN, SUITE 101
GOSHEN, NY 10924
Orange County (845) 294-2733

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 Nicole Kelly's NPI number?

The NPI number for Nicole Kelly is 1760787709. It was assigned to this individual provider in the NPPES registry on January 24, 2011. The provider is also known as Miss Nicole K Falco PA.

Where is Nicole Kelly located?

Nicole Kelly practices at 30 Hatfield Ln Ste 109, Goshen, NY 10924. The listed phone number is (845) 692-3111.

What is Nicole Kelly's specialty?

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

Is Nicole Kelly enrolled in Medicare?

Yes. Nicole Kelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Kelly was last updated on November 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.