Grace Kelly, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA067581 Issued in PA

Practice address

895 East Main Street
Ephrata, PA 17522-2545

Phone

(717) 721-4585

Fax

(717) 721-4597

NPI assigned

Sep 18, 2025

Last updated

Jul 10, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: grace.kelly.p3@direct.chv.nextgenshare.com

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.

• Cardiology Physicians, LLC

  dba Cvpde

  • Cardiovascular Disease Physician
  • Newark, DE
  • NPI 1952338212

  MD

  Medicare reassignment NPD
• Delaware Cardiovascular Associates, P.a.

  • Cardiovascular Disease Physician
  • Wilmington, DE
  • NPI 1073567418
  NPD

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

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1396617650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 EAST MAIN STREET",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222545",
            "telephone_number": "717-721-4585",
            "fax_number": "717-721-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 EAST MAIN STREET",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222545",
            "telephone_number": "717-721-4585",
            "fax_number": "717-721-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "GRACE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-18",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA067581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adela Kang
• KB Chiropractic LLC
• Emily Marie Kearney, DPT
• Sotheara Keat, CRNP
• John Andrew Keller Jr., CMT
• James M Kelly, M.D.
• Jemma Elisabeth Kelly, PA-C
• Xanthi Kelly, CRNP
• Ashley Anne Kempsell, M.D.
• Edward R Kennedy, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.