DR. NICHOLAS KELLEY D.O
NPI 1760830269
Emergency Medicine in Wilkes-barre, PA

Active since May 25, 2016PECOS EnrolledAccepts Medicare Assignment
575 N RIVER ST, WILKES-BARRE, PA 19702(570) 829-8111 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 12, 2025, Sep 30, 2021, Oct 21, 2019 (3 updates tracked since 2019).

About Dr. Nicholas Kelley D.o NPPES

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

DR. NICHOLAS KELLEY D.O (NPI 1760830269) is an individual emergency medicine provider in Wilkes-barre, Pennsylvania, licensed in Pennsylvania (OS019482) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Wellspan Good Samaritan Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1760830269
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. NICHOLAS KELLEYCredential: D.O
Location Address575 N RIVER STWilkes-barre, PA 19702-2634
Mailing Address575 N River StWilkes Barre, PA 18702-2634 · (570) 829-8111
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 25, 2016
Last NPPES UpdateMarch 12, 20253 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
NPI 1760830269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in PA · OS019482
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License OT017061 (PA)
575 N RIVER ST, Wilkes-barre, PA 19702

Secondary Practice Locations 2

Location 1169 Martin AveEphrata, PA 17522-1734 · Phone (717) 738-6420
Location 2252 S 4th StLebanon, PA 17042-6111 · Phone (717) 270-7688

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

Dr. Nicholas Kelley D.o 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 ID1658703491
PECOS Enrollment IDI20210419002253
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.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
275 services254 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
72 services69 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
25 services25 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellspan Good Samaritan Hospital

Acute Care Hospitals · Lebanon, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390066
Location252 South 4th StreetLebanon, PA 17042 · Lebanon County
Emergency services Birthing friendly

Wellspan Ephrata Community Hospital

Acute Care Hospitals · Ephrata, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390225
Location169 Martin AvenueEphrata, PA 17522 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19702 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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 Nicholas Kelley's NPI number?

The NPI number for Nicholas Kelley is 1760830269. It was assigned to this individual provider in the NPPES registry on May 25, 2016.

Where is Nicholas Kelley located?

Nicholas Kelley practices at 575 N River St, Wilkes-Barre, PA 19702. The listed phone number is (570) 829-8111.

What is Nicholas Kelley's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nicholas Kelley enrolled in Medicare?

Yes. Nicholas 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.

Is Nicholas Kelley affiliated with any hospitals?

According to CMS data, Nicholas Kelley is affiliated with Wellspan Good Samaritan Hospital and Wellspan Ephrata Community Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Kelley was last updated on March 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.