Individual provider Active NPI

Kelly Lynn Abbrescia, DO

  • Emergency Medicine Physician
  • Dover, DE
National Provider Identifier
1992740625
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
C2-0006878 Issued in DE
Practice address
640 S State St
Dept. of Emergency Medicine
Dover, DE 19901-3530
Phone
(302) 744-7122
Fax
(302) 744-3256
NPI assigned
Jun 17, 2006
Last updated
Oct 25, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C2-0006878 DE Primary

Addresses

Primary practice location

640 S State St
Dept. of Emergency Medicine
Dover, DE 19901-3530

Mailing address

1019 Quail Run
Wyoming, DE 19934-9500
Phone (302) 697-9396

Other identifiers 1

IdentifierTypeStateIssuer
3261034 00MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, NC, AL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040402001191 DE Practitioner - Emergency Medicine 6800795964 Reassigns benefits to 4 organizations
I20231211002369 NC Practitioner - Emergency Medicine 6800795964 Reassigns benefits to 3 organizations
I20250119000006 AL Practitioner - Emergency Medicine 6800795964 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc. Current Accepting new patients
Bayhealth Emergency Physicians LLC Emergency Medicine CurrentSince Feb 28, 2018 Accepting new patients
Island Medical Alabama LLC Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Emergency Medicine Physicians of Craven County, PLLC Emergency Medicine CurrentSince Nov 13, 2023 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Feb 5, 2022 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Feb 5, 2022 Accepting new patients
Alteon Health Alabama, LLC Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Emergency Medicine Physicians of Carteret County, PLLC Emergency Medicine CurrentSince Nov 13, 2023 Accepting new patients
Immh Scottsboro LLC Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Mar 26, 2018 Accepting new patients
Bayhealth Medical Center, Inc. Emergency Medicine CurrentSince Mar 26, 2018 Accepting new patients
Emergency Medicine Physicians of Mecklenburg County, PLLC Emergency Medicine CurrentSince Sep 12, 2024 Accepting new patients
Christiana Care Health Initiatives Past Accepting new patients
Sussex Emergency Associates LLC Emergency Medicine Past Accepting new patients

Locations

1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496

380 Woods Cove Rd
Scottsboro, AL 35768
Phone (256) 218-3579

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

640 S State St
Dover, DE 19901
Phone (302) 744-4700

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

21 W Clarke Ave
Milford, DE 19963
Phone (302) 422-3311

2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000

3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1992740625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 QUAIL RUN",
            "city": "WYOMING",
            "state": "DE",
            "postal_code": "199349500",
            "telephone_number": "302-697-9396",
            "fax_number": "302-697-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S STATE ST",
            "address_2": "DEPT. OF EMERGENCY MEDICINE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-744-7122",
            "fax_number": "302-744-3256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBRESCIA",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "DE",
            "license": "C2-0006878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3261034 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.