TABITHA KELLY (PA) – Psychiatry Physician, NPI 1134630528

TABITHA KELLY (PA) is a healthcare provider. based in Milton, Delaware. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. C5-0012230 (DE). The NPI Number for TABITHA KELLY (PA) is 1134630528

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
TABITHA KELLY (PA)
NPI
1134630528
Phone
(302) 684-5635
Address
23900 MILTON ELLENDALE HWY
Enumeration Date
12 October 2017
Last Update Date
16 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3026453555
Graduation Year
2017 (9 years ago)
PAC ID
8426314907
Group Practice PAC ID
5496744864
Professional Enrollment ID
I20251121001494
Address ID
DE199474575GE21635AVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:8State licenses:1Digital endpointsOther names

756 PHYSICIAN ASSISTANT in DE

Provider Addresses for TABITHA KELLY (PA)

  • 23900 MILTON ELLENDALE HWY

    MILTON, DE 199682714

    Phone: (302) 684-5635

    Fax: (866) 546-6159

    Type: Location

  • 202, Industrial Boulevard, Abilene, Taylor County, Texas, 79602, United States

    ABILENE, TX 796028004

    Phone: (325) 480-2900

    Type: Mailing

  • 3209 SETTLERS WAY

    ABILENE, TX 796011184

    Phone: (302) 841-4161

    Type: Location

  • 1515 SAVANNAH RD FL 2

    LEWES, DE 199581675

    Phone: (302) 645-3499

    Fax: (302) 644-4830

    Type: Mailing

  • 32550 Docs Pl Unit 1

    Millville, DE 199676975

    Phone: (302) 541-4175

    Fax: (302) 541-4217

    Type: Location

  • 19161 Healthy Way Unit 100

    Rehoboth Beach, DE 199714491

    Phone: (302) 645-3010

    Fax: (302) 645-3814

    Type: Location

  • 28538 DuPont Blvd

    Millsboro, DE 199664791

    Phone: (302) 934-5052

    Fax: (302) 933-0317

    Type: Location

  • 21635 Biden Ave

    Georgetown, DE 199474574

    Phone: (302) 856-9729

    Fax: (302) 856-4261

    Type: Location

  • 1500 INDUSTRIAL BLVD STE 202

    ABILENE, TX 796028004

    Phone: (325) 480-2900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2024-09-03 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($37).

Total Amount

$37

General + Research + Ownership

Payments

2

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230512001906IPhysician AssistantTXTBD
I20251121001494IPhysician AssistantDETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19968)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496744864View full group profile
NameSpecialtyState
Family PracticeNY
-PA
Internal MedicineDE
-DE
-DE
Internal MedicineDE
Infectious Disease, Internal MedicineDE
Family PracticeNY
General SurgeryDE
Physician AssistantDE

Reviews

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Frequently asked questions

Is there an official ID for TABITHA KELLY (PA) in U.S. healthcare records?
The official identifier for TABITHA KELLY (PA) is NPI 1134630528.
Is TABITHA KELLY (PA) still an active registrant?
TABITHA KELLY (PA) carries an active NPI according to the public dataset.
How would a patient describe TABITHA KELLY (PA)'s focus?
For TABITHA KELLY (PA), the primary taxonomy reads as Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with TABITHA KELLY (PA)?
Directory geography for TABITHA KELLY (PA) centers on Milton, Delaware.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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