Individual provider Active NPI

Stacy Lynne Kelly, NP

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1619514742
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP020956 Issued in PA
Practice address
1145 Bower Hill Rd Ste 105
Pittsburgh, PA 15243-1346
Phone
(412) 572-6194
Fax
(412) 572-6195
NPI assigned
Dec 9, 2019
Sex
Female
Sole proprietor
No

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
Family Nurse Practitioner 363LF0000X SP020956 PA Primary

Addresses

Primary practice location

1145 Bower Hill Rd Ste 105
Pittsburgh, PA 15243-1346

Mailing address

1000 Bower Hill Road
St Clair Hospital - Affiliate Billing - Pamalyn
Pittsburgh, PA 15243-1873
Phone (412) 924-2548

Other practice location 1

2375 Greentree Rd
Carnegie, PA 15106-4203
Phone (412) 531-2902

Other practice location 2

161 Cecil B Moore Ave Apt 204
Philadelphia, PA 19122-3243
Phone (866) 306-2026

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Pamalyn.Patnesky@stclair.org Health Information Exchange (HIE)

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
I20200204001245 PA Practitioner - Nurse Practitioner 3072949411 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Clair Medical Services IncGroup PAC ID 4183511553, 203 clinicians
Ophelia Medical Group FL PAGroup PAC ID 7810398534, 103 clinicians

Practice addresses (Care Compare)

1145 Bower Hill Rd
Suite 105
Pittsburgh, PA 15243-1346
Phone (412) 572-6194

161 Cecil B Moore Ave
Apt 204
Philadelphia, PA 19122-3243
Phone (215) 585-2144

2375 Greentree Rd
Carnegie, PA 15106-4203
Phone (412) 276-1560

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Primary Care Physicians CurrentSince Oct 17, 2022 Accepting new patients
Ophelia Medical Group FL, P.a. CurrentSince Oct 22, 2025 Accepting new patients
Preferred Primary Care Physicians, Inc. CurrentSince Oct 17, 2022 Accepting new patients
Ophelia Medical Group, P.C. CurrentSince Oct 22, 2025 Accepting new patients
St Clair Medical Services, Inc. Current Accepting new patients
St Clair Medical Services Inc CurrentSince Dec 23, 2019 Accepting new patients
Preferred Primary Care Physicians, Inc. Current Accepting new patients
St. Clair Medical Services Inc. CurrentSince Dec 23, 2019 Accepting new patients
St Clair Medical Services Inc Past Accepting new patients
St Clair Medical Services, Inc. PastSince Oct 5, 2021 Accepting new patients
The Center for Urologic Care, PC Past Accepting new patients

Locations

228 Park Ave S
New York, NY 10003
Phone (215) 588-2144

701 Technology Dr
Ste 150
Canonsburg, PA 15317
Phone (412) 531-2902

2375 Greentree Rd
Carnegie, PA 15106
Phone (412) 276-1560

1000 Bower Hill Rd
Ste 7600
Pittsburgh, PA 15243
Phone (412) 942-4100

1145 Bower Hill Rd
Ste 105
Pittsburgh, PA 15243
Phone (412) 572-6194

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1619514742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BOWER HILL ROAD",
            "address_2": "ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431873",
            "telephone_number": "412-924-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 BOWER HILL RD STE 105",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431346",
            "telephone_number": "412-572-6194",
            "fax_number": "412-572-6195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2375 Greentree Rd",
            "address_purpose": "LOCATION",
            "city": "Carnegie",
            "state": "PA",
            "postal_code": "151064203",
            "country_code": "US",
            "telephone_number": "412-531-2902",
            "fax_number": "412-531-2948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 Cecil B Moore Ave Apt 204",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191223243",
            "country_code": "US",
            "telephone_number": "866-306-2026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "STACY",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Pamalyn.Patnesky@stclair.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pamalyn.Patnesky@stclair.org",
            "address_1": "1145 Bower Hill Rd Ste 105",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152431346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.