KRISTINA MARIE KELLEY NP
NPI 1902447501
Nurse Practitioner - Adult Health in Boston, MA
About Kristina Marie Kelley Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTINA MARIE KELLEY NP (NPI 1902447501) is an individual adult health provider in Boston, Massachusetts, licensed in Massachusetts (RN282493) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kristina Marie Kelley Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kristina Kelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boston, MA 02215
- Reassigned Medicare billing, Massachusetts enrollment
- 1,026 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02215 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOSTON, MA 02215
BOSTON, MA 02215
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 Kristina Kelley's NPI number?
The NPI number for Kristina Kelley is 1902447501. It was assigned to this individual provider in the NPPES registry on October 4, 2019.
Where is Kristina Kelley located?
Kristina Kelley practices at 450 Brookline Ave, Boston, MA 02215. The listed phone number is (617) 582-7164.
What is Kristina Kelley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Kristina Kelley enrolled in Medicare?
Yes. Kristina Kelley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kristina Kelley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Kelley reassigns Medicare benefits to Dana-Farber Cancer Institute, Inc. (Boston, MA). The 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 Kristina Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kristina Kelley was last updated on October 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Kristina Marie Kelley, NP · NPI 1902447501
Adult Health physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since October 4, 2019.
## Identity
- **NPI:** 1902447501 (Entity type: Individual)
- **Enumerated:** October 4, 2019
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** RN282493 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 450 BROOKLINE AVE, Boston, MA 02215-5418
- **Phone:** (617) 582-7164
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Dana-Farber Cancer Institute, Inc. (NPI 1851333686, Boston, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 4, 2019
- **Other identifiers:** Other RN282493 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1902447501) · Data from the CMS NPPES public registry.