Individual provider Active NPI

Emma Victoria Kelly, PA-C

  • Physician Assistant
  • Beaver, PA
National Provider Identifier
1134095813
Registry record updated Oct 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA067254 Issued in PA
Practice address
1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone
(724) 728-7000
NPI assigned
Oct 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA067254 PA Primary

Addresses

Primary practice location

1000 Dutch Ridge Rd
Beaver, PA 15009-9727

Mailing address

1000 Dutch Ridge Rd
Beaver, PA 15009-9727

Other practice location 1

720 Blackburn Rd
Sewickley, PA 15143-1459
Phone (412) 741-6600

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260123002433 PA Practitioner - Physician Assistant 1951888650 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA067254PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Facilities Inc CurrentSince Dec 3, 2025 Accepting new patients
Valley Medical Facilities Inc CurrentSince Dec 3, 2025 Accepting new patients
Valley Medical Facilities, Inc. CurrentSince Dec 3, 2025 Accepting new patients

Locations

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

720 Blackburn Rd
Sewickley, PA 15143
Phone (412) 741-6600

Organizations & group practices 7

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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Medical Facilities Inc 37 clinicians

Practice addresses (Care Compare)

720 Blackburn Rd
Sewickley, PA 15143-1459
Phone (412) 741-6600

NPI Registry JSON

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

{
    "created_epoch": "1760140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760140800000",
    "number": "1134095813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 DUTCH RIDGE RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150099727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 DUTCH RIDGE RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150099727",
            "telephone_number": "724-728-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Blackburn Rd",
            "address_purpose": "LOCATION",
            "city": "Sewickley",
            "state": "PA",
            "postal_code": "151431459",
            "country_code": "US",
            "telephone_number": "412-741-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "EMMA",
        "middle_name": "VICTORIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-11",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA067254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

Verify at the official NPI Registry.