Kelly E Williams, D.O.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

OS017241 Issued in PA

Practice address

5 Morgan Hwy
Suite 4
Scranton, PA 18508-2641

Phone

(570) 344-3788

Fax

(570) 969-9280

NPI assigned

May 27, 2009

Last updated

Jun 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 11

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Philadelphia College of Osteopathic Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northeastern Rehabilitation Associates, PCGroup PAC ID 5193714723, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Geisinger-Community Medical Center Hospital, Scranton, PA, CCN 390001
• Lehigh Valley Hospital - Dickson City Hospital, Dickson City, PA, CCN 390338
• Regional Hospital of Scranton Hospital, Scranton, PA, CCN 390237
• Wayne Memorial Hospital Hospital, Honesdale, PA, CCN 390125
• Geisinger Wyoming Valley Medical Center Hospital, Wilkes Barre, PA, CCN 390270
• Allied Services Institute of Rehabilitation Inpatient rehabilitation facility, Scranton, PA, CCN 393030

Merit-based Incentive Payment System (MIPS)

Final score

89.17 of 100Reported as apm

Quality

78.34

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kwilliams@nerehab.medentdirect.com

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.

• Northeastern Rehabilitation Associates, PC

  • Physical Medicine & Rehabilitation Physician
  • Scranton, PA
  • NPI 1104878412
  Medicare reassignment Care Compare group NPD
• Northeastern Rehabilitation Associates, PC

  dba NERA Pain Center at Montage Mountain

  • Ambulatory Surgical Clinic/Center
  • Moosic, PA
  • NPI 1225837875
  NPD (past)

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

• Allied Services Institute of Rehabilitation Medicine

  dba Allied Services Rehabilitation Hospital

  • Rehabilitation Hospital
  • Scranton, PA
  • NPI 1316944184

  Inpatient rehabilitation facility

  Care Compare affiliation
• Community Medical Center

  dba Geisinger Cardiology Scranton, A service of GCMC

  • Clinic/Center
  • Scranton, PA
  • NPI 1285032128

  Hospital

  Care Compare affiliation
• Community Medical Center

  dba Geisinger Community Medical Center

  • Endocrinology, Diabetes & Metabolism Physician
  • Scranton, PA
  • NPI 1306439856

  Hospital

  Care Compare affiliation
• Community Medical Center

  dba Geisinger Community Medical Center

  • General Acute Care Hospital
  • Scranton, PA
  • NPI 1366444507
  Care Compare affiliation
• Community Medical Center

  • Radiology Clinic/Center
  • Scranton, PA
  • NPI 1770960130

  Hospital

  Care Compare affiliation
• Community Medical Center

  • General Acute Care Hospital
  • Scranton, PA
  • NPI 1972652063
  Care Compare affiliation
• Geisinger Mt Pleasant Imaging, a Service of Geisinger Comm Med Center

  • Diagnostic Radiology Physician
  • Scranton, PA
  • NPI 1467850149

  Hospital

  Care Compare affiliation
• Geisinger View Imaging, a Service of GCMC

  • Radiology Clinic/Center
  • Scranton, PA
  • NPI 1548648272

  Hospital

  Care Compare affiliation
• Geisinger Viewmont Imaging, a Service of GCMC

  • Radiology Clinic/Center
  • Scranton, PA
  • NPI 1124405592

  Hospital

  Care Compare affiliation
• Geisinger Viewmont Physical Therpy, a Service of GCMC

  • Physical Therapy Clinic/Center
  • Scranton, PA
  • NPI 1336526276

  Hospital

  Care Compare affiliation
• Geisinger Viewmont Sleep Center, a Service of GCMC

  • Sleep Disorder Diagnostic Clinic/Center
  • Scranton, PA
  • NPI 1417334350

  Hospital

  Care Compare affiliation
• Geisinger Wyoming Valley

  • Clinic/Center
  • Scranton, PA
  • NPI 1164274247

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1093940546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MORGAN HWY",
            "address_2": "SUITE 4",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185082641",
            "telephone_number": "570-344-3788",
            "fax_number": "570-969-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MORGAN HWY",
            "address_2": "SUITE 4",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185082641",
            "telephone_number": "570-344-3788",
            "fax_number": "570-969-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KELLY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-27",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "OT013735",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "OS017241",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "PA",
            "license": "OS017241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102967539-0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4866356",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD/PREMIER BLUE/MEDICARE ADVANTAGE/FIRST PRIORITY LIFE",
            "identifier": "003115409",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH CARITAS",
            "identifier": "30212590",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BETTER HEALTH",
            "identifier": "25-1645055",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "1093940546",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC COMMERCIAL & MEDICARE",
            "identifier": "1093940546",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FPH",
            "identifier": "833606",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01389864",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "1093940546",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6620630",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William P. Yeomans, DDS PC
• Abigail A Williams
• Amy S Williams, MSPT
• Barbara Jean Williams, PT
• Jahtearya Williams
• Lisa Williams
• Mark David Williams, RPH
• Morgann Ashley Williams, PA-C
• Chloe Marie Williamson, LICSW
• Jennifer Willier, LCSW

• Interventional Pain Medicine Physician in Scranton, PA
• Providers in Scranton, PA by specialty
• Interventional Pain Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.

Verify at the official NPI Registry.