Marie A Kelly

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA056322 Issued in PA

Practice address

1259 S Cedar Crest Blvd Ste 100
Allentown, PA 18103-6373

Phone

(610) 437-4134

Fax

(610) 433-9690

NPI assigned

Sep 18, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Marie A Calogero Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.03 of 100Reported as group

Quality

93.26

Promoting interoperability

92

Improvement activities

40

Cost

90.18

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1326474727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 S CEDAR CREST BLVD",
            "address_2": "SUITE 100",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036372",
            "telephone_number": "610-437-4134",
            "fax_number": "610-433-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 S CEDAR CREST BLVD STE 100",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036373",
            "telephone_number": "610-437-4134",
            "fax_number": "610-433-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MARIE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-18",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "macalogero@adaltd.medentdirect.com",
            "affiliation": "N",
            "address_1": "1259 S Cedar Crest Blvd",
            "address_2": "Suite 100",
            "city": "Allentown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "181036372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "CALOGERO",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sharin P Kelley, CRNP
• Anita L Kelly, MA LPC
• Gail Kelly, R.N.
• Joseph B Kelly, LPC
• Kiel Kelly, CRNA
• Teresa Marie Kelly
• Tricia Kelly, MD
• Tatyana Kemarskaya, M.D.
• Crystal Marie Kemmerer, CRNP
• Nichole Kemmerer, LPC

• Physician Assistant in Allentown, PA
• Providers in Allentown, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.