NPIMap

Individual provider Active NPI

Jessica Marie Kelly, DO

  • Family Medicine Physician
  • McMurray, PA
National Provider Identifier
1164163887
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS024767 Issued in PA
Practice address
114 Gallery Dr
MC Murray, PA 15317-2690
Phone
(412) 831-8089
NPI assigned
Apr 5, 2022
Last updated
Jun 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 34.016994 OH
Family Medicine Physician 207Q00000X OS024767 PA Primary

Addresses

Primary practice location

114 Gallery Dr
MC Murray, PA 15317-2690

Mailing address

4 Allegheny Ctr FL 7
Pittsburgh, PA 15212-5227

Other practice location 1

7450 Hospital Dr Ste 4500
Dublin, OH 43016-9693
Phone (614) 788-0588

Other practice location 2

6905 Hospital Dr Ste 130
Dublin, OH 43016-9600
Phone (614) 923-0300

Other identifiers 1

IdentifierTypeStateIssuer
0484698MedicaidOH

Other names 1

  • Jessica Marie McRae Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmcrae796506@direct.ohiohealth.com OhioHealth Urgent Care LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240712001859 OH Practitioner - Family Practice 2860879269 Reassigns benefits to 1 organization
I20250718001967 PA Practitioner - Family Practice 2860879269 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Practice Medical Associate South IncGroup PAC ID 5193639136, 21 clinicians

Practice addresses (Care Compare)

114 Gallery Dr
MC Murray, PA 15317-2690
Phone (412) 831-8089

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.016994OHMDFamily Medicine Physician
OS024767PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Urgent Care LLC CurrentSince Jun 1, 2024 Accepting new patients
Family Practice Medical Associate South Inc. Family Medicine CurrentSince Aug 15, 2025 Accepting new patients

Locations

Dept L3652
Columbus, OH 43260

6905 Hospital Dr
Ste 130
Dublin, OH 43016
Phone (614) 923-0300

2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987

1200 Brooks Ln
Ste 290
Jefferson Hls, PA 15025
Phone (412) 469-7010

114 Gallery Dr
McMurray, PA 15317
Phone (412) 831-5504

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jessica.mcrae.1@19222.direct.athenahealth.com
  • Direct secure messaging: jkelly1042178@direct.ahn.org

Organizations & group practices 3

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 9

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": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1164163887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ALLEGHENY CTR FL 7",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152125227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 GALLERY DR",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172690",
            "telephone_number": "412-831-8089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7450 Hospital Dr Ste 4500",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430169693",
            "country_code": "US",
            "telephone_number": "614-788-0588",
            "fax_number": "614-788-0587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6905 Hospital Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430169600",
            "country_code": "US",
            "telephone_number": "614-923-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.016994",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS024767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0484698",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmcrae796506@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Urgent Care LLC",
            "address_1": "6905 Hospital Dr Ste 130",
            "city": "Dublin",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430169600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MCRAE",
            "middle_name": "MARIE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McMurray, PA

Sources for this page

Verify at the official NPI Registry.