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KRISTEN KELLY PA-C
NPI 1922617612
Physician Assistant in Greenlawn, NY

Active since July 28, 2020PECOS Enrolled
76.52/100
CMS Quality Rating
31 W MAPLE RD, GREENLAWN, NY 11740(631) 560-7359 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2020, Aug 30, 2020, Jul 28, 2020 (3 updates tracked since 2020).

About Kristen Kelly Pa-c NPPES

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

KRISTEN KELLY PA-C (NPI 1922617612) is an individual physician assistant in Greenlawn, New York, licensed in New York (025374) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922617612
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKRISTEN KELLYCredential: PA-C
Location Address31 W MAPLE RDGreenlawn, NY 11740-1024
Mailing Address31 W Maple RdGreenlawn, NY 11740-1024 · (631) 560-7359
Phone(631) 560-7359
Sole ProprietorNo
Enumeration DateJuly 28, 2020
Last NPPES UpdateDecember 30, 20203 updates tracked since enumeration
NPPES CertifiedDecember 30, 2020
✔ NPI 1922617612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 025374
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
31 W MAPLE RD, Greenlawn, NY 11740
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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 (PECOS)

Kristen Kelly Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11740 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.02
Promoting Interoperability100
Improvement Activities40
Cost57.73

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 Kristen Kelly's NPI number?

The NPI number for Kristen Kelly is 1922617612. It was assigned to this individual provider in the NPPES registry on July 28, 2020.

Where is Kristen Kelly located?

Kristen Kelly practices at 31 W Maple Rd, Greenlawn, NY 11740. The listed phone number is (631) 560-7359.

What is Kristen Kelly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kristen Kelly enrolled in Medicare?

Yes. Kristen Kelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristen Kelly was last updated on December 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.