Individual provider Active NPI

Kelly-Ann Kilcollins

  • Nurse Practitioner
  • Lawrenceville, NJ
National Provider Identifier
1073094843
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00870600 Issued in NJ
Practice address
2999 Princeton Pike Ste 2
Lawrenceville, NJ 08648
Phone
(609) 403-8840
NPI assigned
Aug 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Nurse Practitioner 363L00000X 26NJ00870600 NJ Primary

Addresses

Primary practice location

2999 Princeton Pike Ste 2
Lawrenceville, NJ 08648

Mailing address

2999 Princeton Pike Ste 2
Lawrenceville, NJ 08648-3261
Phone (609) 403-8840

Other practice location 1

350 Salvia St
Browns Mills, NJ 08015-1351
Phone (609) 321-6905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190130001811 NJ Practitioner - Nurse Practitioner 9133466089 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians
Princeton Eye and Ear LLCGroup PAC ID 4587802996, 9 clinicians

Practice addresses (Care Compare)

2999 Princeton Pike
Suite 2
Lawrenceville, NJ 08648-3261
Phone (609) 403-8840

901 W Main St
BLDG a
Freehold, NJ 07728-2537
Phone (609) 403-8840

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.28 of 100Reported as individual
Quality
71.99
Promoting interoperability
94
Improvement activities
40
Cost
77.28

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Eye & Ear LLC CurrentSince Dec 4, 2018 Accepting new patients
The Radiology Group of New Jersey, LLC CurrentSince Sep 1, 2025 Accepting new patients
Monmouth Digestive Health LLC PastSince Aug 17, 2020 Accepting new patients

Locations

145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333

901 W Main St
Ste 166
Freehold, NJ 07728
Phone (732) 431-2300

57 US Highway 46
Ste 212
Hackettstown, NJ 07840

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

2999 Princeton Pike
Ste 2
Lawrenceville, NJ 08648
Phone (609) 403-8840

175 High St
Newton, NJ 07860
Phone (973) 383-2121

222 High St
Ste 205
Newton, NJ 07860
Phone (973) 579-4060

Interoperability endpoints

  • Direct secure messaging: kkilcollins425227@direct.ahsys.org

Organizations & group practices 3

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 2

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": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1073094843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 PRINCETON PIKE STE 2",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086483261",
            "telephone_number": "609-403-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 PRINCETON PIKE STE 2",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "08648",
            "telephone_number": "609-403-8840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Salvia St",
            "address_purpose": "LOCATION",
            "city": "Browns Mills",
            "state": "NJ",
            "postal_code": "080151351",
            "country_code": "US",
            "telephone_number": "609-321-6905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILCOLLINS",
        "first_name": "KELLY-ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00870600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.