NPIMap

Individual provider Active NPI

Abbie Leigh Kelley, D.O.

  • Family Medicine Physician
  • York, PA
National Provider Identifier
1073877981
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS017147 Issued in PA
Practice address
1855 Powder Mill Rd
York, PA 17402-4723
Phone
(717) 848-4800
Fax
(717) 741-9867
NPI assigned
Jun 26, 2012
Last updated
Mar 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS017147 PA Primary
Sports Medicine (Family Medicine) Physician 207QS0010X OS017147 PA

Addresses

Primary practice location

1855 Powder Mill Rd
York, PA 17402-4723

Mailing address

1861 Powder Mill Rd
Attn Medical Staff Office
York, PA 17402-4723
Phone (717) 718-2041

Other practice location 1

856 Century Drive
Mechanicsburg, PA 17055-4505
Phone (717) 730-7099

Other names 1

  • Abbie Leigh Merrifield Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akelley@osshealth.medentdirect.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150608002716 PA Practitioner - Sports MedicinePractitioner - Family Practice 8921329525 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oss Orthopaedic Hospital LLCGroup PAC ID 8729110747, 125 clinicians

Practice addresses (Care Compare)

1855 Powder Mill Rd
York, PA 17402-4723
Phone 71784848006867

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS017147PAMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jun 29, 2015 Accepting new patients
York Hospital CurrentSince Jun 29, 2015 Accepting new patients
Wellspan Medical Group Family Medicine CurrentSince Jun 29, 2015 Accepting new patients
York Hospital Current Accepting new patients
Oss Orthopaedic Hospital, LLC Current Accepting new patients
Oss Orthopaedic Hospital, LLC CurrentSince Jul 18, 2016 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Oss Orthopaedic Hospital, LLC Family Medicine CurrentSince Jul 18, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

856 Century Dr
Mechanicsburg, PA 17055
Phone (717) 697-3304

1855 Powder Mill Rd
York, PA 17402

1861 Powder Mill Rd
York, PA 17402
Phone (717) 718-2000

1861 Powder Mill Rd
Ofc
York, PA 17402
Phone (717) 718-2000

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

605 S George St
Ste 200
York, PA 17401
Phone (717) 851-2334

Organizations & group practices 9

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

Hospital & facility affiliations 8

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": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1073877981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 POWDER MILL RD",
            "address_2": "ATTN MEDICAL STAFF OFFICE",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024723",
            "telephone_number": "717-718-2041",
            "fax_number": "717-741-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 POWDER MILL RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024723",
            "telephone_number": "717-848-4800",
            "fax_number": "717-741-9867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "856 Century Drive",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170554505",
            "country_code": "US",
            "telephone_number": "717-730-7099",
            "fax_number": "717-741-9867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "ABBIE",
        "middle_name": "LEIGH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS017147",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "OS017147",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akelley@osshealth.medentdirect.com",
            "affiliation": "N",
            "address_1": "1855 Powder Mill Rd",
            "city": "York",
            "state": "PA",
            "country_code": "US",
            "postal_code": "174024723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ABBIE",
            "last_name": "MERRIFIELD",
            "middle_name": "LEIGH",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.