Tyla Nicole Kelley

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2924 Issued in ME

Practice address

3 Loving Kindness Way
York, ME 03909

Phone

(843) 819-2310

NPI assigned

Sep 25, 2023

Last updated

Sep 24, 2025By 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 ME

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

Accepts the Medicare-approved amount as payment in full

Group practices

York HospitalGroup PAC ID 6406766781, 202 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• York Hospital Hospital, York, ME, CCN 200020

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• York Hospital

  • General Acute Care Hospital
  • York, ME
  • NPI 1376528398
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• York Hospital

  • General Acute Care Hospital
  • York, ME
  • NPI 1376528398
  Care Compare affiliation

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1679352207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LOVING KINDNESS WAY",
            "city": "YORK",
            "state": "ME",
            "postal_code": "03909",
            "telephone_number": "843-819-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LOVING KINDNESS WAY",
            "city": "YORK",
            "state": "ME",
            "postal_code": "03909",
            "telephone_number": "843-819-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "TYLA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA2924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael W Jung, MD
• Sally Ann Keck, MA, CCS, LADC, TTS-C
• Jennifer A Keefe, PMHNP
• Joel William Keenan, MD
• Catherine A Kelley, RPH
• Nolan Kelly, DPT
• Kim Kelsey, LCSW
• Kerry E. Hoag PSYD (Lighthouse Counseling LLC)
• Ferida Khanjani, D.C., MPH
• Lauren Jae Kieffer

• Physician Assistant in York, ME
• Providers in York, ME by specialty
• Physician Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.