NPIMap

Individual provider Active NPI

Kelli Ann Norman, P.A.

  • Physician Assistant
  • Du Bois, PA
National Provider Identifier
1932262557
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA052613 Issued in PA
Practice address
100 Meadow LN
Suite 4
Du Bois, PA 15801-2460
Phone
(814) 371-3730
Fax
(814) 371-9335
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA052613 PA Primary
Physician Assistant 363A00000X OA002263 PA

Addresses

Primary practice location

100 Meadow LN
Suite 4
Du Bois, PA 15801-2460

Mailing address

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 371-3730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070612000190 PA Practitioner - Physician Assistant 9931207180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians

Practice addresses (Care Compare)

100 Meadow LN
Suite 4
Du Bois, PA 15801-2460
Phone (814) 375-0600

145 Hospital Ave
Suite 315
Du Bois, PA 15801-1465
Phone (814) 503-4305

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dubois Regional Medical Center CurrentSince Apr 15, 2014 Accepting new patients
Dubois Regional Medical Center Physician Assistant CurrentSince Apr 15, 2014 Accepting new patients
Dubois Regional Medical Center Physician Assistant Past Accepting new patients

Locations

809 Turnpike Ave
Clearfield, PA 16830
Phone (814) 765-5341

145 Hospital Ave
Ste 102
Dubois, PA 15801
Phone (814) 375-6510

100 Hospital Ave
Ofc
Dubois, PA 15801

145 Hospital Ave
Ste 101
Dubois, PA 15801
Phone (814) 375-5305

100 Meadow Ln
Ste 4
Dubois, PA 15801
Phone (814) 371-3730

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

111 Cobb St
Johnsonburg, PA 15845
Phone (814) 965-2857

763 Johnsonburg Rd
Saint Marys, PA 15857
Phone (814) 788-8000

Interoperability endpoints

  • Direct secure messaging: kanorman@1285.direct.myezyaccess.com

Organizations & group practices 3

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 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417478400000",
    "number": "1932262557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-371-3730",
            "fax_number": "814-371-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEADOW LN",
            "address_2": "SUITE 4",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012460",
            "telephone_number": "814-371-3730",
            "fax_number": "814-371-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "KELLI",
        "middle_name": "ANN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2014-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA052613",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA002263",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.