DR. MARY P KELLY D.C.
NPI 1922280387
Chiropractor in Waterloo, IA
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
Specialties & Licenses
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Mary Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Waterloo, IA 50702
- Reassigned Medicare billing, Iowa enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
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 Mary Kelly's NPI number?
The NPI number for Mary Kelly is 1922280387. It was assigned to this individual provider in the NPPES registry on November 28, 2007.
Where is Mary Kelly located?
Mary Kelly practices at 3602 Kimball Ave, Waterloo, IA 50702. The listed phone number is (319) 233-9355.
What is Mary Kelly's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Mary Kelly enrolled in Medicare?
Yes. Mary Kelly 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 organization bills Medicare for Mary Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Kelly reassigns Medicare benefits to Kuhn Chiropractic, PC (Waterloo, IA). 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 Mary Kelly'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 Mary Kelly was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Dr. Mary P Kelly, D.C. · NPI 1922280387
Chiropractor provider in Waterloo, Iowa. Individual provider, active in the CMS NPPES registry since November 28, 2007.
## Identity
- **NPI:** 1922280387 (Entity type: Individual)
- **Enumerated:** November 28, 2007
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 06386 (Iowa)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3602 KIMBALL AVE, Waterloo, IA 50702-5731
- **Phone:** (319) 233-9355
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Kuhn Chiropractic, PC (NPI 1831371319, Waterloo, IA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Palmer College Chiropractic - Davenport, class of 2001
## Record status
- **NPPES last updated:** April 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1922280387) · Data from the CMS NPPES public registry.