KELLY ANNE O'CONNELL CRNP
NPI 1861884546
Nurse Practitioner in Philadelphia, PA

Q: What is Kelly O'connell's NPI number?

The NPI number for Kelly O'connell is 1861884546. It was assigned to this individual provider in the NPPES registry on March 4, 2015.

Q: What is Kelly O'connell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly O'connell was last updated on October 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 March 04, 2015PECOS EnrolledAccepts Medicare Assignment

10 SHURS LN STE 203, PHILADELPHIA, PA 19127(215) 482-1234 Get Directions Write a Review

NPPES record last updated: October 16, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 16, 2018, Sep 13, 2018 (2 updates tracked since 2018).

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About Kelly Anne O'connell Crnp NPPES

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

KELLY ANNE O'CONNELL CRNP (NPI 1861884546) is an individual nurse practitioner in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP019217) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1861884546

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKELLY ANNE O'CONNELLCredential: CRNP

Location Address10 SHURS LN STE 203Philadelphia, PA 19127-2123

Mailing Address10 Shurs Ln Ste 203Philadelphia, PA 19127-2123

Phone(215) 482-1234

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 4, 2015

Last NPPES UpdateOctober 16, 20182 updates tracked since enumeration

✔ NPI 1861884546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in PA · SP019217

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN628832 (PA)

10 SHURS LN STE 203, Philadelphia, PA 19127

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Secondary Practice Locations 2

Location 1219 N Broad St Fl 1Philadelphia, PA 19107-1519 · Phone (215) 762-5145

Location 22 Franklin Town BlvdPhiladelphia, PA 19103-1238 · Phone (215) 240-8915

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Anne O'connell Crnp 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 ID941554745

PECOS Enrollment IDI20181114001473

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 Reassignments

Medicare enrollment records show Kelly O'connell reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chestnut Hill Clinic Company, LLC

Same address

Sports Medicine

10 SHURS LN STE 204
Philadelphia, PA 19127

Reassigned Medicare billing, Pennsylvania enrollment
176 clinicians in this Medicare group

NPI 1811611692 (215) 967-1627

Tower Drexel Academic Medical Group LLC

Same address

Sports Medicine

10 SHURS LN STE 206
Philadelphia, PA 19127

Reassigned Medicare billing, Pennsylvania enrollment
48 clinicians in this Medicare group

NPI 1306479829 (215) 482-1234

Drexel University

Same address

Sports Medicine

10 SHURS LN
Philadelphia, PA 19127

Reassigned Medicare billing, Pennsylvania enrollment
335 clinicians in this Medicare group

NPI 1689842072 (215) 482-1234

Temple Faculty Practice Plan, Inc

3.7 mi

Otolaryngology

3509 N BROAD ST
Philadelphia, PA 19140

Reassigned Medicare billing, Pennsylvania enrollment
1,991 clinicians in this Medicare group

NPI 1023591781 (215) 707-3663

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

232 services54 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

148 services33 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

147 services42 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

95 services31 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19127 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Standard hemi (low seat) wheelchair K0002

DME-Wheelchairs · category DD000N

1 supplier13 claims13 services$22.65 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

2 suppliers13 claims13 services$6.99 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 11

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

BHAVANA PATIL MD

Family Medicine