Individual provider Active NPI

Lauren Kelly, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Paoli, PA
National Provider Identifier
1679032189
Registry record updated Feb 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP020054 Issued in PA
Practice address
255 W Lancaster Ave Ste 330
Paoli, PA 19301-1766
Phone
(484) 565-1600
Fax
(484) 565-8814
NPI assigned
Mar 14, 2019
Last updated
Feb 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP020054 PA
Family Nurse Practitioner 363LF0000X SP020054 PA Primary

Addresses

Primary practice location

255 W Lancaster Ave Ste 330
Paoli, PA 19301-1766

Mailing address

3803 W Chester Pike Ste 160
Newtown Square, PA 19073-2336
Phone (484) 565-1600

Other practice location 1

96 Chase Rd
Chesterbrook, PA 19087-1228
Phone (610) 213-9974

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lauren.kelly.1@16196.direct.athenahealth.com Direct Trinity Health Mid-Atlantic Medical Group

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
I20190516000083 PA Practitioner - Nurse Practitioner 5496098360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

255 W Lancaster Ave
Suite 330
Paoli, PA 19301-1766
Phone (610) 786-3200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paoli Hematology-Oncology Associates PC Multi-Specialty CurrentSince May 3, 2021 Accepting new patients
Main Line Healthcare Multi-Specialty CurrentSince Dec 6, 2025 Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

1503 Lansdowne Ave
Ste 3001
Darby, PA 19023
Phone (610) 586-4100

3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530

2 Industrial Blvd
Ste 110
Paoli, PA 19301
Phone (610) 725-0650

255 W Lancaster Ave
Ste 330
Paoli, PA 19301
Phone (484) 565-1600

Organizations & group practices 2

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 4

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": "1552521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770422400000",
    "number": "1679032189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 W CHESTER PIKE STE 160",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732336",
            "telephone_number": "484-565-1600",
            "fax_number": "484-565-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W LANCASTER AVE STE 330",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011766",
            "telephone_number": "484-565-1600",
            "fax_number": "484-565-8814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "96 Chase Rd",
            "address_purpose": "LOCATION",
            "city": "Chesterbrook",
            "state": "PA",
            "postal_code": "190871228",
            "country_code": "US",
            "telephone_number": "610-213-9974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "LAUREN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-14",
        "last_updated": "2026-02-07",
        "certification_date": "2026-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP020054",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lauren.kelly.1@16196.direct.athenahealth.com",
            "affiliation": "Y",
            "endpointDescription": "Mercy Management of Southeastern Pennsylvania Direct Email Address",
            "affiliationName": "Trinity Health Mid-Atlantic Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1001 Baltimore Pike Ste 109",
            "city": "Springfield",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190642852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.