ANDREW KELLY
NPI 1831519420
Student in an Organized Health Care Education/Training Program in Farmington, CT

Q: What is Andrew Kelly's NPI number?

The NPI number for Andrew Kelly is 1831519420. It was assigned to this individual provider in the NPPES registry on April 22, 2014.

Q: What is Andrew Kelly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Kelly was last updated on April 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since April 22, 2014PECOS Enrolled

79 RETREAT AVENUE, ADULT PRIMARY CARE BROWNSTONE CLINIC, FARMINGTON, CT 06032(860) 545-0200 Get Directions Write a Review

NPPES record last updated: April 22, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Andrew Kelly NPPES

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

ANDREW KELLY (NPI 1831519420) is an individual student in an organized health care education/training program in Farmington, Connecticut and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831519420

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameANDREW KELLY

Location Address79 RETREAT AVENUE, ADULT PRIMARY CARE BROWNSTONE CLINICFarmington, CT 06032

Mailing Address263 Farmington AveFarmington, CT 06032-1956

Phone(860) 545-0200

Sole ProprietorNo

Enumeration DateApril 22, 2014

✔ NPI 1831519420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

79 RETREAT AVENUE, Farmington, CT 06032

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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)

Andrew Kelly 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.

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 Andrew Kelly's NPI number?

The NPI number for Andrew Kelly is 1831519420. It was assigned to this individual provider in the NPPES registry on April 22, 2014.

Where is Andrew Kelly located?

Andrew Kelly practices at 79 Retreat Avenue Adult Primary Care Brownstone Clinic, Farmington, CT 06032. The listed phone number is (860) 545-0200.

What is Andrew Kelly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Andrew Kelly enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Andrew Kelly was last updated on April 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.