CHRISTINA NOEL KELLEY (PA) – Surgical Physician Assistant, NPI 1649704370

CHRISTINA NOEL KELLEY (PA) is a healthcare provider. based in Ottumwa, Iowa. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 087242 (IA). The NPI Number for CHRISTINA NOEL KELLEY (PA) is 1649704370

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINA NOEL KELLEY (PA)
NPI
1649704370
Phone
(641) 455-5200
Address
920 N QUINCY AVE
Enumeration Date
19 April 2017
Last Update Date
3 February 2022

Doctor Profile

Medical School Name
LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Secondary Phone
6416283832
Graduation Year
2016 (10 years ago)
PAC ID
4385911965
Group Practice PAC ID
9931005873
Professional Enrollment ID
I20170602000541
Address ID
IA502191189PE405XXSTXX300

Contacts

Secure Messaging
prhc@direct.pellahealth.kobledirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

1,649 PHYSICIAN ASSISTANT in IA

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Provider Addresses for CHRISTINA NOEL KELLEY (PA)

  • Pella Regional Health Center, 920, North Quincy Avenue, Ottumwa, Wapello County, Iowa, 52501, United States

    OTTUMWA, IA 525013866

    Phone: (641) 455-5200

    Fax: (641) 455-5150

    Type: Location

  • 405 MONROE ST

    PELLA, IA 502191189

    Phone: (641) 621-2287

    Fax: (641) 621-2326

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2024-07-09 • Largest payer in this snapshot: Urgo Medical North America, LLC ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-09

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: 2017-06-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20170602000541IPhysician AssistantIATBD

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 52501)

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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: 9931005873View full group profile
NameSpecialtyState
-IA
-IN
Internal Medicine, Pulmonary Disease, Sleep MedicineIA
Pulmonary DiseaseIA
Family Practice, Obstetrics/GynecologyIA
-IA
Physical Therapist In Private PracticeIA
Diagnostic RadiologyIA
-IA
-IA

Reviews

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Frequently asked questions

How is CHRISTINA NOEL KELLEY (PA) identified in CMS data?
CMS-hosted NPPES data lists CHRISTINA NOEL KELLEY (PA) with NPI 1649704370.
Can I rely on CHRISTINA NOEL KELLEY (PA) being an active provider?
As of the registry snapshot, CHRISTINA NOEL KELLEY (PA) is marked active.
What taxonomy line describes CHRISTINA NOEL KELLEY (PA)?
For research purposes, treat CHRISTINA NOEL KELLEY (PA) as Surgical Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect CHRISTINA NOEL KELLEY (PA) on a map?
Expect Ottumwa, Iowa as a primary anchor for CHRISTINA NOEL KELLEY (PA) unless the record lists multiple sites.
Is the information about CHRISTINA NOEL KELLEY (PA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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