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MARY HIGGINS KELLY CRNP
NPI 1851319347
Nurse Practitioner - Adult Health in Abington, PA

Active since July 17, 2006PECOS Enrolled
1235 OLD YORK RD, SUITE 121, ABINGTON, PA 19001(215) 517-1200(215) 517-1219 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 19, 2022, May 22, 2017 (2 updates tracked since 2017).

About Mary Higgins Kelly Crnp NPPES

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

MARY HIGGINS KELLY CRNP (NPI 1851319347) is an individual adult health provider in Abington, Pennsylvania, licensed in Pennsylvania (TP004416C) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851319347
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMARY HIGGINS KELLYCredential: CRNP
Location Address1235 OLD YORK RD, SUITE 121Abington, PA 19001-3800
Mailing Address1235 Old York Rd, Suite 121Abington, PA 19111 · (215) 517-1200 · Fax (215) 517-1219
Phone(215) 517-1200
Fax(215) 517-1219
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateNovember 29, 20232 updates tracked since enumeration
✔ NPI 1851319347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in PA · TP004416C
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License TP004416C (PA)
1235 OLD YORK RD, Abington, PA 19001
Open in Google Maps ↗

Other Identifiers 1

Medicaid1224376PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Higgins Kelly Crnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Mary Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Abington Memorial Hospital
0.1 mi
Neurology
1200 OLD YORK RD
Abington, PA 19001
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 10 clinicians in this Medicare group
NPI 1871523415 (215) 481-2226

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19001 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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

Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation
Percentage of patients aged 18 years and older with a diagnosis of COPD who had spirometry results documented
100%44 patients5/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers120 claims120 services$34.16 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers63 claims63 services$77.32 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers69 claims184 services$28.57 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers34 claims199 services$15.73 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers23 claims131 services$13.27 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers64 claims64 services$47.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JOSEPH GUERERRI CROCETTI JR. DO
Internal Medicine (Pulmonary Disease)
1235 OLD YORK RD, STE 121
ABINGTON, PA 19001
Montgomery County (215) 517-1200
DR. JOSEPH MCALLISTER MD
Internal Medicine
1235 OLD YORK RD, STE 113
ABINGTON, PA 19001
Montgomery County (215) 517-1180
WILLIAM L. WARD DO
Internal Medicine (Pulmonary Disease)
1235 OLD YORK RD, SUITE 121
ABINGTON, PA 19001
Montgomery County (215) 517-1200
ABINGTON MEMORIAL HOSPITAL
Internal Medicine
1235 OLD YORK RD, SUITE 214
ABINGTON, PA 19001
Montgomery County (215) 481-4811
KELLY ANN LAPA CRNP
Nurse Practitioner (Adult Health)
1235 OLD YORK RD, STE 113
ABINGTON, PA 19001
Montgomery County (215) 517-1180
GEETIKA SOOD MD
Internal Medicine (Infectious Disease)
1235 OLD YORK RD, SUITE 220
ABINGTON, PA 19001
Montgomery County (215) 886-8075
ABINGTON PULMONARY & CRITICAL CARE ASSOCIATES, LTD
Internal Medicine (Critical Care Medicine)
1235 OLD YORK RD, STE 121
ABINGTON, PA 19001
Montgomery County (215) 517-1200
JACLYN A ROSENZWEIG M.D.
Internal Medicine (Infectious Disease)
1235 OLD YORK RD, SUITE 220
ABINGTON, PA 19001
Montgomery County (215) 481-6350

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 Mary Kelly's NPI number?

The NPI number for Mary Kelly is 1851319347. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Mary Kelly located?

Mary Kelly practices at 1235 Old York Rd Suite 121, Abington, PA 19001. The listed phone number is (215) 517-1200.

What is Mary Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Mary Kelly enrolled in Medicare?

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

Which organization bills Medicare for Mary Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Kelly reassigns Medicare benefits to Abington Memorial Hospital (Abington, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Kelly was last updated on November 29, 2023. 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.