Jessica Kelly, AUD

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

AT006101 Issued in PA

Practice address

1265 Wayne Ave
Ste 100
Indiana, PA 15701-3578

Phone

(724) 349-5440

Fax

(724) 349-7445

NPI assigned

Dec 18, 2008

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 PA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bosco E Noronha MD,PCGroup PAC ID 5496035750, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.62 of 100Reported as group

Quality

67.25

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bosco E Noronha MD,PC

  • Otolaryngology Physician
  • Indiana, PA
  • NPI 1184071854

  PA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1457597619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 WAYNE AVE",
            "address_2": "STE 100",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013578",
            "telephone_number": "724-349-5440",
            "fax_number": "724-349-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 WAYNE AVE",
            "address_2": "STE 100",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013578",
            "telephone_number": "724-349-5440",
            "fax_number": "724-349-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JESSICA",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-18",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "PA",
            "license": "AT006101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Goss Nutrition and Fitness LLC
• Christine Kasisky, RPH
• Patrice Kebler
• Alan M Keefe, MPA-C
• Beca-Lin Marie Kelly
• Michelle Kelly, RDN, LD
• Christina Marie Kemerer, PA-C
• Jennifer Diane Keough, BSW
• Todd Michael Keppich, O.D.
• Brianna Kerr, PA-C

• All providers in Indiana, PA
• Audiologist-Hearing Aid Fitter in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.