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JACQUELINE MARY KELLY PNP
NPI 1811651052
Nurse Practitioner - Pediatrics in Danville, WV

Active since October 25, 2021PECOS Enrolled
300 4TH ST, DANVILLE, WV 25053(304) 369-1230 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Mary Kelly Pnp NPPES

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

JACQUELINE MARY KELLY PNP (NPI 1811651052) is an individual pediatrics provider in Danville, West Virginia, licensed in New York (381614) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811651052
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJACQUELINE MARY KELLYCredential: PNP
Location Address300 4TH STDanville, WV 25053-4632
Mailing Address271 Fellows AveSyracuse, NY 13210-2625 · (315) 877-8055
Phone(304) 369-1230
Sole ProprietorNo
Enumeration DateOctober 25, 2021
Last NPPES UpdateJuly 29, 2024
NPPES CertifiedJuly 29, 2024
✔ NPI 1811651052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · 381614
300 4TH ST, Danville, WV 25053
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Mary Kelly Pnp 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 25053 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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

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

TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
300 4TH ST
DANVILLE, WV 25053
Boone County (304) 307-6201

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 Jacqueline Kelly's NPI number?

The NPI number for Jacqueline Kelly is 1811651052. It was assigned to this individual provider in the NPPES registry on October 25, 2021.

Where is Jacqueline Kelly located?

Jacqueline Kelly practices at 300 4th St, Danville, WV 25053. The listed phone number is (304) 369-1230.

What is Jacqueline Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jacqueline Kelly enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacqueline Kelly was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.