NPIMap

Individual provider Active NPI

Kelly E Martorano, ACNP

  • Acute Care Nurse Practitioner
  • Bethlehem, PA
National Provider Identifier
1053696815
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP011587 Issued in PA
Practice address
801 Ostrum St
Bethlehem, PA 18015-1000
Phone
(484) 526-6643
Fax
(484) 526-4856
NPI assigned
Oct 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X SP011587 PA Primary

Addresses

Primary practice location

801 Ostrum St
Bethlehem, PA 18015-1000

Mailing address

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-6643

Other names 1

  • Kelly E Diehl Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111104000359 PA Practitioner - Nurse Practitioner 7517130651 Reassigns benefits to 2 organizations
I20190501003085 NJ Practitioner - Nurse Practitioner 7517130651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

123 A Roseberry St
Phillipsburg, NJ 08865-1629
Phone (908) 847-8853

709 Delaware Ave
Fountain Hill, PA 18015-1107
Phone (610) 954-3890

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP011587PAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Warren Physician Group, PC CurrentSince Mar 23, 2019 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Oct 1, 2011 Accepting new patients
St. Luke'S Warren Physician Group, PC Current Accepting new patients
Gslpg, Inc CurrentSince Apr 2, 2020 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Oct 1, 2011 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Mar 23, 2019 Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients
St. Luke'S Physician Group, Inc. Past Accepting new patients
Gslpg Inc Past Accepting new patients
Gslpg Inc Past Accepting new patients

Locations

123B Roseberry St
Phillipsburg, NJ 08865
Phone (908) 213-3433

185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619

315 State Route 31 S
Washington, NJ 07882
Phone (908) 689-0777

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

709 Delaware Ave
Fountain Hill, PA 18015
Phone (610) 954-3890

701 Ostrum St
Ste 201
Fountain Hill, PA 18015
Phone (610) 868-1014

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

1165 Centre Tpke
Orwigsburg, PA 17961
Phone (272) 639-5130

100 Paramount Blvd
#3
Orwigsburg, PA 17961

4 Life Mark Dr
Sellersville, PA 18960
Phone (215) 453-4026

Interoperability endpoints

  • Direct secure messaging: kelly.martorano@slpg.direct-sluhn.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1053696815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-6643",
            "fax_number": "484-526-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-6643",
            "fax_number": "484-526-4856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTORANO",
        "first_name": "KELLY",
        "middle_name": "E",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP011587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "DIEHL",
            "middle_name": "E",
            "credential": "ANCP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.