KELLY MARIE NORTH PA-C
NPI 1821177130
Physician Assistant - Medical in Camillus, NY

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

Active since November 06, 2006PECOS EnrolledAccepts Medicare Assignment

260 TOWNSHIP BLVD, STE 20, CAMILLUS, NY 13031(315) 708-0091(315) 708-0194 Get Directions Write a Review

NPPES record last updated: August 29, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kelly Marie North Pa-c NPPES

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

KELLY MARIE NORTH PA-C (NPI 1821177130) is an individual medical provider in Camillus, New York, licensed in Pennsylvania (OA002604) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Community Memorial Hospital, Inc, and maintains a secondary practice location in Liverpool.

NPPES Registry Identity

NPI1821177130

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKELLY MARIE NORTHCredential: PA-C

Location Address260 TOWNSHIP BLVD, STE 20Camillus, NY 13031-1678

Mailing Address260 Township Blvd, Ste 20Camillus, NY 13031-1678 · (315) 708-0091 · Fax (315) 708-0194

Phone(315) 708-0091

Fax(315) 708-0194

Sole ProprietorNo

Medical School CMSOtherGraduated 1987

Enumeration DateNovember 6, 2006

Last NPPES UpdateAugust 29, 2019

✔ NPI 1821177130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in PA · OA002604✔ Licensed in PA · MA001686L

260 TOWNSHIP BLVD, Camillus, NY 13031

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Secondary Practice Location 1

Location 14820 W Taft Rd, Suite 108Liverpool, NY 13088-2800 · Phone (315) 413-0004 · Fax (315) 413-0827

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

Kelly Marie North Pa-c 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 ID2769497890

PECOS Enrollment IDI20121024000087

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.

Hospital Affiliations CMS Care Compare

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

Community Memorial Hospital, Inc

Critical Access Hospitals · Hamilton, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number331316

Location150 Broad StreetHamilton, NY 13346 · Madison County

Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

94%743 patients4/55-star benchmark: 99%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

72%134 patients4/55-star benchmark: 88%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

100%124 patients5/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

82%293 patients4/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

90%293 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

79%293 patients4/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

73%293 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

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

QUN XU NP

Nurse Practitioner (Family)