MARIA KELLY PA-C
NPI 1871476721
Physician Assistant in Kettering, OH

Active since July 29, 2025PECOS Enrolled
3535 SOUTHERN BLVD, KETTERING, OH 45429(937) 395-8166 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Maria Kelly Pa-c NPPES

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

MARIA KELLY PA-C (NPI 1871476721) is an individual physician assistant in Kettering, Ohio, licensed in Ohio (50.009670RX) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, maintains 11 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1871476721
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARIA KELLYCredential: PA-C
Location Address3535 SOUTHERN BLVDKettering, OH 45429-1221
Mailing Address3131 Newmark Dr Ste 220Miamisburg, OH 45342-5400
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 29, 2025
Last NPPES UpdateSeptember 2, 2025
NPPES CertifiedSeptember 2, 2025
NPI 1871476721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OH · 50.009670RX
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3535 SOUTHERN BLVD, Kettering, OH 45429

Secondary Practice Locations 11

Location 11997 Miamisburg Centerville RdCenterville, OH 45459-3811 · Phone (937) 401-6228
Location 2450 Washington Jackson RdEaton, OH 45320-8699 · Phone (937) 456-8376
Location 38701 Old Troy PikeHuber Heights, OH 45424-1066 · Phone (937) 558-3338
Location 42300 N Limestone StSpringfield, OH 45503-1102 · Phone (937) 504-8305
Location 53535 Pentagon BlvdBeavercreek, OH 45431-1705 · Phone (937) 702-4500
Location 61141 N Monroe DrXenia, OH 45385-1619 · Phone (937) 352-2500
Location 7600 W Main StTroy, OH 45373-3384 · Phone (937) 980-7010
Location 86147 State Route 122Middletown, OH 45005-5201 · Phone (513) 261-3410
Location 9100 Kettering WayFranklin, OH 45005-1155 · Phone (937) 458-4700
Location 104000 Miamisburg Centerville RdMiamisburg, OH 45342-7615 · Phone (937) 384-8791
Location 11405 W Grand AveDayton, OH 45405-7538 · Phone (937) 723-3211

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Maria Kelly Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062919442
PECOS Enrollment IDI20251010001062
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Anesthesiology
3535 SOUTHERN BLVD
KETTERING, OH 45429
Personal Emergency Response Attendant
3535 SOUTHERN BLVD
KETTERING, OH 45429
Emergency Medicine
3535 SOUTHERN BLVD
KETTERING, OH 45429
Emergency Medicine
3535 SOUTHERN BLVD
KETTERING, OH 45429
Personal Emergency Response Attendant
3535 SOUTHERN BLVD
KETTERING, OH 45429
Anesthesiology
3535 SOUTHERN BLVD
KETTERING, OH 45429
Anesthesiology
3535 SOUTHERN BLVD
KETTERING, OH 45429
Anesthesiology
3535 SOUTHERN BLVD
KETTERING, OH 45429

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871476721, enumerated as an "individual" on July 29, 2025.

The provider is located at 3535 SOUTHERN BLVD KETTERING, OH 45429 and the phone number is (937) 395-8166.

Physician Assistant with taxonomy code 363A00000X.