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MRS. KELLY SHELBY PA-C
NPI 1881994754
Physician Assistant - Surgical in Wynnewood, PA

Active since October 26, 2010PECOS EnrolledAccepts Medicare Assignment
100 E LANCASTER AVE STE 275, WYNNEWOOD, PA 19096(610) 642-1908(610) 642-6808 Get Directions Write a Review

NPPES record last updated: August 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kelly Shelby Pa-c NPPES

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

MRS. KELLY SHELBY PA-C (NPI 1881994754) is an individual surgical provider in Wynnewood, Pennsylvania, licensed in Pennsylvania (MA052346) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS, is affiliated with Bryn Mawr Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1881994754
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMRS. KELLY SHELBYCredential: PA-C
Location Address100 E LANCASTER AVE STE 275Wynnewood, PA 19096
Mailing Address100 E Lancaster Ave Ste 275Wynnewood, PA 19096-3450 · (610) 642-1908 · Fax (610) 642-6808
Phone(610) 642-1908
Fax(610) 642-6808
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 26, 2010
Last NPPES UpdateAugust 14, 2018
✔ NPI 1881994754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in PA · MA052346
100 E LANCASTER AVE STE 275, Wynnewood, PA 19096
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kelly Shelby Pa-c 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 ID5193909786
PECOS Enrollment IDI20180808000827
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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
44 services41 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bryn Mawr Hospital

Acute Care Hospitals · Bryn Mawr, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390139
Location130 South Bryn Mawr AveBryn Mawr, PA 19010 · Montgomery County
Emergency services Birthing friendly

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Riddle Memorial Hospital

Acute Care Hospitals · Media, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390222
Location1068 West Baltimore PikeMedia, PA 19063 · Delaware County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 6

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

ARVIND SABESAN
Surgery (Surgical Oncology)
100 E LANCASTER AVE STE 275
WYNNEWOOD, PA 19096
Montgomery County (610) 642-1908
MS. SARAH EMILY DANNER PA-C
Physician Assistant (Medical)
100 E LANCASTER AVE STE 275
WYNNEWOOD, PA 19096
Montgomery County (484) 476-8390
DR. SHARI NOLANA REID-GRUNER M.D.
Surgery (Surgical Critical Care)
100 E LANCASTER AVE STE 275
WYNNEWOOD, PA 19096
Montgomery County (845) 720-1714
VICTORIA A COSGROVE PA-C
Physician Assistant
100 E LANCASTER AVE STE 275
WYNNEWOOD, PA 19096
Montgomery County (484) 572-0171
DOMINIC J RICCIO PA-C
Physician Assistant (Surgical)
100 E LANCASTER AVE STE 275
WYNNEWOOD, PA 19096
Montgomery County (610) 642-1908
ANNETTE MARIE HARGADON CRNP
Surgery
100 E LANCASTER AVE STE 275
WYNNEWOOD, PA 19096
Montgomery County (610) 642-1908

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 Kelly Shelby's NPI number?

The NPI number for Kelly Shelby is 1881994754. It was assigned to this individual provider in the NPPES registry on October 26, 2010.

Where is Kelly Shelby located?

Kelly Shelby practices at 100 E Lancaster Ave Ste 275, Wynnewood, PA 19096. The listed phone number is (610) 642-1908.

What is Kelly Shelby's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kelly Shelby enrolled in Medicare?

Yes. Kelly Shelby is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kelly Shelby affiliated with any hospitals?

According to CMS data, Kelly Shelby is affiliated with Bryn Mawr Hospital, Paoli Hospital, Main Line Hospital Lankenau and Riddle Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Shelby was last updated on August 14, 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.