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MARY MARGARET KELLY APN
NPI 1972691079
Nurse Practitioner - Adult Health in Lodi, NJ

Active since October 11, 2006PECOS Enrolled
116 TERRACE AVE, LODI, NJ 07644(973) 473-3896 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 13, 2017 (3 updates tracked since 2017).

About Mary Margaret Kelly Apn NPPES

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

MARY MARGARET KELLY APN (NPI 1972691079) is an individual adult health provider in Lodi, New Jersey, licensed in New Jersey (26NN04298100) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hackensack.

NPPES Registry Identity

NPI1972691079
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMARY MARGARET KELLYCredential: APN
Location Address116 TERRACE AVELodi, NJ 07644-2905
Mailing Address116 Terrace AveLodi, NJ 07644-2905 · (973) 473-3896
Phone(973) 473-3896
Sole ProprietorNo
Enumeration DateOctober 11, 2006
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1972691079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NJ · 26NN04298100
Also ListedRegistered NurseTaxonomy 163W00000X · License NN42981 (NJ)
116 TERRACE AVE, Lodi, NJ 07644
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Secondary Practice Location 1

Location 1155 Polifly Rd Ste 207Hackensack, NJ 07601-1749 · Phone (201) 489-9119

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Margaret Kelly Apn 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 07644 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

ALIADO COMMUNITY HEALTH
Clinic/Center (Mental Health (Including Community Mental Health Center))
116 TERRACE AVE
LODI, NJ 07644
Bergen County (347) 605-3518
DR. MICHAEL J. MATARESE M.D.
Internal Medicine
116 TERRACE AVE
LODI, NJ 07644
Bergen County (973) 473-3896
SAVIA COMMUNITY COUNSELING SERVICES, LLC
Community/Behavioral Health
116 TERRACE AVE
LODI, NJ 07644
Bergen County (201) 699-0508
ANTHONY J CAMPANELLA MD
Internal Medicine
116 TERRACE AVE
LODI, NJ 07644
Bergen County (973) 473-3896

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 1972691079. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Mary Kelly located?

Mary Kelly practices at 116 Terrace Ave, Lodi, NJ 07644. The listed phone number is (973) 473-3896.

What is Mary Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Mary Kelly enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mary Kelly was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.