DR. MARY P KELLY D.C.
NPI 1922280387
Chiropractor in Waterloo, IA

Active since November 28, 2007Accepts Medicare Assignment
3602 KIMBALL AVE, WATERLOO, IA 50702(319) 233-9355 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 30, 2026, Nov 5, 2024 (2 updates tracked since 2024).

About Dr. Mary P Kelly D.c. NPPES

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

DR. MARY P KELLY D.C. (NPI 1922280387) is an individual chiropractor in Waterloo, Iowa, licensed in Iowa (06386) and active in the NPI registry since November 2007. She is a graduate of Palmer College Chiropractic - Davenport (2001).

NPPES Registry Identity

NPI1922280387
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. MARY P KELLYCredential: D.C.
Location Address3602 KIMBALL AVEWaterloo, IA 50702-5731
Mailing Address904 Hudson RdCedar Falls, IA 50613-2305 · (319) 415-3062
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2001
Enumeration DateNovember 28, 2007
Last NPPES UpdateApril 30, 20262 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
NPI 1922280387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in IA · 06386
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

3602 KIMBALL AVE, Waterloo, IA 50702

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

Dr. Mary P Kelly D.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 ID345310561
PECOS Enrollment IDI20080530000470

Other Providers at the Same Location NPPES

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

Chiropractor
3602 KIMBALL AVE
WATERLOO, IA 50702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922280387, enumerated as an "individual" on November 28, 2007.

The provider is located at 3602 KIMBALL AVE WATERLOO, IA 50702 and the phone number is (319) 233-9355.

Chiropractor with taxonomy code 111N00000X.