Individual provider Active NPI

Caroline Kelly, APN

  • Acute Care Nurse Practitioner
  • Morristown, NJ
National Provider Identifier
1104547744
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
26NJ01365900 Issued in NJ
Practice address
290 Madison Ave BLDG No 5,
2ND Floor
Morristown, NJ 07960-7401
Phone
(973) 631-6223
NPI assigned
Sep 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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 26NJ01365900 NJ Primary

Addresses

Primary practice location

290 Madison Ave BLDG No 5,
2ND Floor
Morristown, NJ 07960-7401

Mailing address

28 De Hart Rd
Maplewood, NJ 07040-1108
Phone (484) 264-0701

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
I20250409001622 NJ Practitioner - Nurse Practitioner 8123542305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Care of Morris County LLCGroup PAC ID 8022380799, 7 clinicians

Practice addresses (Care Compare)

290 Madison Ave
BLDG No5
Morristown, NJ 07960-7400
Phone (973) 631-6223

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care of Morris County LLC CurrentSince Jan 20, 2025 Accepting new patients

Locations

16 Pocono Rd
Ste 208
Denville, NJ 07834
Phone (201) 224-4570

290 Madison Ave
Ste 2
Morristown, NJ 07960
Phone (201) 704-7578

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

290 Madison Ave
Ste 5
Morristown, NJ 07960
Phone (973) 538-7171

Interoperability endpoints

  • Direct secure messaging: ckelly42183@direct.davitaphysiciansolutions.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1104547744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 DE HART RD",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070401108",
            "telephone_number": "484-264-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 MADISON AVE BLDG NO 5,",
            "address_2": "2ND FLOOR",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607401",
            "telephone_number": "973-631-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "CAROLINE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ01365900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.