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DR. KIMBERLY JOYCE KELLY AU.D.
NPI 1861453052
Specialist in Lititz, PA

Active since March 29, 2006
100 HIGHLANDS DR, SUITE 201, LITITZ, PA 17543(717) 627-4327(717) 627-2690 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kimberly Joyce Kelly Au.d. NPPES

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

DR. KIMBERLY JOYCE KELLY AU.D. (NPI 1861453052) is an individual specialist in Lititz, Pennsylvania, licensed in Pennsylvania (AT055864) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1861453052
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. KIMBERLY JOYCE KELLYCredential: AU.D.
Location Address100 HIGHLANDS DR, SUITE 201Lititz, PA 17543-7693
Mailing Address325 Carol Lynn DrWillow Street, PA 17584-9364 · (717) 464-2144 · Fax (717) 464-4255
Phone(717) 627-4327
Fax(717) 627-2690
Sole ProprietorNo
Enumeration DateMarch 29, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1861453052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in PA · AT055864
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
100 HIGHLANDS DR, Lititz, PA 17543
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kimberly Joyce Kelly Au.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Lancaster Ear Nose And Throat LLC
6.2 mi
Otolaryngology
930 RED ROSE CT, SUITE 301
Lancaster, PA 17601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 5 clinicians in this Medicare group
NPI 1962766279 (717) 517-9083

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

Other Providers at the Same Location NPPES 13

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

NORTHERN LANCASTER COUNTY MEDICAL GROUP
Pediatrics
100 HIGHLANDS DR, SUITE 204
LITITZ, PA 17543
Lancaster County (717) 626-5437
ALLISON LAKEHART-CHILDS MSW LSW
Social Worker
100 HIGHLANDS DR
LITITZ, PA 17543
Lancaster County (717) 368-6123
ROBERT LONGENECKER DPT
Physical Therapist
100 HIGHLANDS DR, SUITE 100
LITITZ, PA 17543
Lancaster County (717) 625-2228
DANIEL ERIC HERRMANN DPT
Physical Therapist
100 HIGHLANDS DR, SUITE 100
LITITZ, PA 17543
Lancaster County (717) 625-2228
DR. JEANETTE D. PIKARSKI DMD
Dentist (Pediatric Dentistry)
100 HIGHLANDS DR, SUITE 304
LITITZ, PA 17543
Lancaster County (717) 626-8282
DR. MARGOT T. KUSIENSKI DMD., M.S.ED., MMSC
Dentist (Endodontics)
100 HIGHLANDS DR, SUITE 302
LITITZ, PA 17543
Lancaster County (717) 625-1901
MEGAN LOUISE SABOL DPT
Physical Therapist
100 HIGHLANDS DR, SUITE 100
LITITZ, PA 17543
Lancaster County (717) 625-2228
DR. ANITHA WEAVER MD
Pediatrics
100 HIGHLANDS DR, SUITE 204
LITITZ, PA 17543
Lancaster County (717) 626-5437

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 Kimberly Kelly's NPI number?

The NPI number for Kimberly Kelly is 1861453052. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Kimberly Kelly located?

Kimberly Kelly practices at 100 Highlands Dr Suite 201, Lititz, PA 17543. The listed phone number is (717) 627-4327.

What is Kimberly Kelly's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Kimberly Kelly enrolled in Medicare?

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

Which organization bills Medicare for Kimberly Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Kelly reassigns Medicare benefits to Lancaster Ear Nose And Throat LLC (Lancaster, 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 Kimberly 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 Kimberly Kelly was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.