Individual provider Active NPI

Olivia McKenzie Kelly, PA-C

  • Physician Assistant
  • Jefferson Hills, PA
National Provider Identifier
1245958354
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA063872 Issued in PA
Practice address
1200 Brooks LN Ste G20
Jefferson Hills, PA 15025-3752
Phone
(412) 267-5040
Fax
(412) 384-3505
NPI assigned
Aug 16, 2022
Last updated
Jan 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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 MA063872 PA Primary

Addresses

Primary practice location

1200 Brooks LN Ste G20
Jefferson Hills, PA 15025-3752

Mailing address

4 Allegheny Ctr FL 7
Pittsburgh, PA 15212-5227
Phone (412) 330-4461

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
I20221207001155 PA Practitioner - Physician Assistant 7315316742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

1200 Brooks LN
Suite G20
Jefferson Hills, PA 15025-3752
Phone (412) 267-5040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA063872PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Jan 20, 2026 Accepting new patients
Allegheny Clinic Orthopaedic Surgery CurrentSince Jan 20, 2026 Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

100 Medical Blvd
Canonsburg, PA 15317
Phone (412) 359-4138

495 E Waterfront Dr
Ste 200
Homestead, PA 15120
Phone (412) 326-0330

1200 Brooks Ln
Ste G20
Jefferson Hls, PA 15025
Phone (412) 267-5040

27 Heckel Rd
Ste 203
Mc Kees Rocks, PA 15136
Phone (412) 206-6770

1307 Federal St
Fl 2
Pittsburgh, PA 15212
Phone (877) 660-9777

3001 Cool Springs Dr
Pittsburgh, PA 15234
Phone (412) 267-5040

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

59 Fort Couch Rd
Pittsburgh, PA 15241
Phone (412) 688-7580

2027 Lebanon Church Rd
West Mifflin/Pleasant Hills, PA 15122
Phone (412) 655-8650

2027 Lebanon Church Rd
Fl 1
West Mifflin/Pleasant Hills, PA 15122
Phone (412) 469-1660

Interoperability endpoints

  • Direct secure messaging: okelly354826@direct.wvuhsdirect.com

Organizations & group practices 4

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": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1245958354",
    "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",
            "telephone_number": "412-330-4461",
            "fax_number": "412-330-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BROOKS LN STE G20",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253752",
            "telephone_number": "412-267-5040",
            "fax_number": "412-384-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "OLIVIA",
        "middle_name": "MCKENZIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA063872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson Hills, PA

Sources for this page

Verify at the official NPI Registry.