KELLY CONNELLY
NPI 1891333258
Nurse Practitioner - Family in Palmerton, PA
About Kelly Connelly NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY CONNELLY (NPI 1891333258) is an individual family provider in Palmerton, Pennsylvania, licensed in Pennsylvania (SP021237) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and is a graduate of Drexel University College Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted 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 Connelly 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.
Medicare Billing Reassignments
5Medicare enrollment records show Kelly Connelly reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pottsville, PA 17901
- Reassigned Medicare billing, Pennsylvania enrollment
- 399 clinicians in this Medicare group
Winston Salem, NC 27157
- Reassigned Medicare billing, North Carolina enrollment
- 3,003 clinicians in this Medicare group
Mocksville, NC 27028
- Reassigned Medicare billing, North Carolina enrollment
- 116 clinicians in this Medicare group
Statesville, NC 28677
- Reassigned Medicare billing, North Carolina enrollment
- 580 clinicians in this Medicare group
Helena, MT 59601
- Reassigned Medicare billing, Montana enrollment
- 16 clinicians in this Medicare group
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 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Carolina Baptist Hospital
Acute Care Hospitals · Winston-Salem, NCWilkes Regional Medical Center
Acute Care Hospitals · North Wilkesboro, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18071 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Connelly's NPI number?
The NPI number for Kelly Connelly is 1891333258. It was assigned to this individual provider in the NPPES registry on December 17, 2019.
Where is Kelly Connelly located?
Kelly Connelly practices at 528 Delaware Ave, Palmerton, PA 18071. The listed phone number is (610) 900-4950.
What is Kelly Connelly's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Connelly enrolled in Medicare?
Yes. Kelly Connelly 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.
Which organizations bill Medicare for Kelly Connelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Connelly reassigns Medicare benefits to 5 organizations: Schuylkill Health System Medical Group, Inc. (Pottsville, PA), Wake Forest University Health Sciences (Winston Salem, NC), Iredell Physician Network LLC (Mocksville, NC), Wake Forest Emergency Providers (Statesville, NC) and Lewis And Clark Emergency Physicians P C (Helena, MT). Each 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 Kelly Connelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Connelly accept?
Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Kelly Connelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Kelly Connelly affiliated with any hospitals?
According to CMS data, Kelly Connelly is affiliated with North Carolina Baptist Hospital and Wilkes Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Kelly Connelly was last updated on December 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kelly Connelly · NPI 1891333258
Family physician in Palmerton, Pennsylvania. Individual provider, active in the CMS NPPES registry since December 17, 2019.
## Identity
- **NPI:** 1891333258 (Entity type: Individual)
- **Enumerated:** December 17, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP021237 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 528 DELAWARE AVE, Palmerton, PA 18071-1911
- **Phone:** (610) 900-4950
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Schuylkill Health System Medical Group, Inc. (NPI 1063073823, Pottsville, PA); Wake Forest University Health Sciences (NPI 1003803032, Winston Salem, NC); Iredell Physician Network LLC (NPI 1063584134, Mocksville, NC); Wake Forest Emergency Providers (NPI 1396216735, Statesville, NC); Lewis And Clark Emergency Physicians P C (NPI 1083668651, Helena, MT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Drexel University College Of Medicine, class of 2019
## Record status
- **NPPES last updated:** December 17, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1891333258) · Data from the CMS NPPES public registry.