Kelly Marie North, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

OA002604 Issued in PA

Practice address

260 Township Blvd
Ste 20
Camillus, NY 13031-1678

Phone

(315) 708-0091

Fax

(315) 708-0194

NPI assigned

Nov 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Memorial HospitalGroup PAC ID 6103805163, shared by 5 NPIs, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Memorial Hospital, Inc Hospital, Hamilton, NY, CCN 331316
• Oneida Health Hospital Hospital, Oneida, NY, CCN 330115

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: knorth@cmhhamilton.medentdirect.com

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.

• Associated Gastroenterologists of Central New York, PC

  • Gastroenterology Physician
  • Camillus, NY
  • NPI 1013938174
  Medicare reassignment
• Community Memorial Hospital

  • Rural Health Clinic/Center
  • Morrisville, NY
  • NPI 1902333149
  NPD (past)
• Community Memorial Hospital

  • Internal Medicine Physician
  • Hamilton, NY
  • NPI 1932100393
  NPD (past)

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

• Community Memorial Hospital

  • Internal Medicine Physician
  • Hamilton, NY
  • NPI 1932100393

  Hospital

  Care Compare affiliation
• Community Memorial Hospital

  • Critical Access Hospital
  • Hamilton, NY
  • NPI 1992707608
  Care Compare affiliation
• Oneida Health Systems, Inc

  • General Acute Care Hospital
  • Oneida, NY
  • NPI 1962408203
  Care Compare affiliation

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1821177130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 TOWNSHIP BLVD",
            "address_2": "STE 20",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311678",
            "telephone_number": "315-708-0091",
            "fax_number": "315-708-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 TOWNSHIP BLVD",
            "address_2": "STE 20",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311678",
            "telephone_number": "315-708-0091",
            "fax_number": "315-708-0194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4820 W Taft Rd",
            "address_2": "Suite 108",
            "address_purpose": "LOCATION",
            "city": "Liverpool",
            "state": "NY",
            "postal_code": "130882800",
            "country_code": "US",
            "telephone_number": "315-413-0004",
            "fax_number": "315-413-0827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORTH",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA001686L",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA002604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New York Anesthesiology Medical Specialties, PC
• Steven P Nicolais, MD
• Elizabeth Grace Noll, M.S., CCC-SLP/L
• Martin T Noonan, MD
• Eric James Norrison, LPN
• Emma Lee Norton
• Nurturing Connections Marriage and Family Therapy, PLLC
• Chelsea O'Connor, NP
• Kathleen M O'Connor, NP
• Ivan Y Olesh

• Medical Physician Assistant in Camillus, NY
• Providers in Camillus, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.