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

Q: What is Maria Kelly's NPI number?

The NPI number for Maria Kelly is 1871476721. It was assigned to this individual provider in the NPPES registry on July 29, 2025.

Q: What is Maria Kelly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Maria Kelly was last updated on September 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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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

Phone(937) 395-8166

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

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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.