Active NPI
Janet E Kelley, CRNP
- Nurse Practitioner
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- VP003650C
- Practice address
- 5035 Peach St
Erie, PA 16509-2013 - Phone
- (814) 480-7789
- Fax
- (814) 480-7790
- NPI assigned
- Jul 14, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP126300 | TX | |
| Nurse Practitioner | 363L00000X | VP003650C | PA | Primary |
Addresses
Primary practice location
5035 Peach St
Erie, PA 16509-2013
Mailing address
11990 N Central Expy
Dallas, TX 75243-3714
Phone (469) 924-3262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1995
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
15957 Conneaut Lake Rd
Suite 6
Meadville, PA 16335-4763
Phone (800) 805-6989
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP126300 | TX | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ars Treatment Centers, P.C. | Current | Accepting new patients | |
| Trilogy Wellness, LLC | Current | Accepting new patients | |
| Ars Treatment Centers, P.C. | Current | Accepting new patients | |
| OB-GYN Associates of Erie, PC | Current | Accepting new patients |
Locations
220 S Main St
Ste A
Butler, PA 16001
624 S 5th Ave
Clarion, PA 16214
100 Peach St
Ste 300
Erie, PA 16507
Phone (814) 459-1851
1611 Peach St
Ste 315
Erie, PA 16501
5035 Peach St
Erie, PA 16509
Phone (814) 480-7789
207 Martin Luther King Jr Blvd
Farrell, PA 16121
Phone (724) 402-3234
150 Prospect Ave
Ste 303
Franklin, PA 16323
17 6th Ave
Greenville, PA 16125
Phone (412) 588-2600
300 Hansen Plz
Lyndora, PA 16045
Phone (724) 256-9424
15957 Conneaut Lake Rd
Ste 6
Meadville, PA 16335
2317 E Westmoreland St
Philadelphia, PA 19134
Phone (215) 291-3115
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Uniontown, PA
- NPI 1346731171
-
- Obstetrics & Gynecology Physician
- Erie, PA
- NPI 1497702294
-
- Clinic/Center
- Lyndora, PA
- NPI 1891279733
-
- Clinical Medical Laboratory
- Beaver, PA
- NPI 1992370324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1073512810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11990 N CENTRAL EXPY",
"city": "DALLAS",
"state": "TX",
"postal_code": "752433714",
"telephone_number": "469-924-3262",
"fax_number": "469-624-3426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5035 PEACH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165092013",
"telephone_number": "814-480-7789",
"fax_number": "814-480-7790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "JANET",
"middle_name": "E",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-14",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "AP126300",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "VP003650C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.