Individual provider Active NPI

Kara A. Kelly, FNP-C

  • Family Nurse Practitioner
  • Ellwood City, PA
National Provider Identifier
1902277080
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP015459 Issued in PA
Practice address
304 Adams Avenue
Ellwood City, PA 16117-2513
Phone
(724) 752-6860
NPI assigned
Oct 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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 SP015459 PA Primary

Addresses

Primary practice location

304 Adams Avenue
Ellwood City, PA 16117-2513

Mailing address

220 Gartley Ave
Ellwood City, PA 16117-2513
Phone (724) 421-4426

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
I20151207002467 PA Practitioner - Nurse Practitioner 7810297231 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP015459PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc CurrentSince Feb 8, 2017 Accepting new patients
Upmc Community Medicine Inc CurrentSince Feb 8, 2017 Accepting new patients
Personal Care Medical Associates LLC CurrentSince Feb 6, 2019 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
Pcma Cardiology PLLC PastSince Jul 1, 2019 Accepting new patients

Locations

2349 Mill St
Ofc
Aliquippa, PA 15001
Phone (412) 406-8376

2349 Mill St
Aliquippa, PA 15001
Phone (412) 283-6262

304 Evans Dr
Ste 201
Ellwood City, PA 16117
Phone (724) 752-6974

304 Evans Dr
Ste 401
Ellwood City, PA 16117
Phone (724) 752-6856

2000 Cliffmine Rd
Ste 500
Pittsburgh, PA 15275
Phone (724) 766-0025

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1902277080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 GARTLEY AVE",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161172513",
            "telephone_number": "724-421-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 ADAMS AVENUE",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161172513",
            "telephone_number": "724-752-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KARA",
        "middle_name": "A.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellwood City, PA

Sources for this page

Verify at the official NPI Registry.