KELLY NOONAN (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1922459973

KELLY NOONAN (D.P.M.) is a healthcare provider. based in North andover, Massachusetts. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. 169 (WY). The NPI Number for KELLY NOONAN (D.P.M.) is 1922459973

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KELLY NOONAN (D.P.M.)
NPI
1922459973
Phone
(978) 686-7623
Address
451 Andover St Ste 209
Enumeration Date
30 June 2016
Last Update Date
20 April 2023

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
9704934660
Graduation Year
2016 (10 years ago)
PAC ID
6002148434
Group Practice PAC ID
2961394895
Professional Enrollment ID
I20230511001266
Address ID
CO805261833FO2001XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:9State licenses:3Digital endpointsOther names

385 PODIATRY in MA

Provider Addresses for KELLY NOONAN (D.P.M.)

  • 451 Andover St Ste 209

    North Andover, MA 01845

    Phone: (978) 686-7623

    Fax: (978) 683-9911

    Type: Location

  • 451 ANDOVER ST STE 209

    NORTH ANDOVER, MA 018455070

    Phone: (978) 686-7623

    Type: Mailing

  • 2001 S SHIELDS ST STE F

    FORT COLLINS, CO 805261833

    Phone: (970) 343-4217

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $133.

Total Amount is formed as General ($133) + Research ($0) + Ownership ($0) = $133.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Smith+Nephew, Inc. ($115).

Total Amount

$133

General + Research + Ownership

Payments

3

Total payment records

General Amount

$133

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

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: 2023-05-12

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
I20230511001266IPodiatryCOTBD
I20230512001005IPodiatryWYTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes471302$0
11720Removal of fingernails or toenails, 1-5 nails306226$0
11721Removal of fingernails or toenails, 6 or more nails235163$0
G0127Trimming of dystrophic nails, any number235156$0
73630X-ray of foot, minimum of 3 views222163$0
View full utilization report →

Insurance plans in this area (ZIP 01845)

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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: 2961394895View full group profile
NameSpecialtyState
P O D I A T R YCO
P O D I A T R YCO
P O D I A T R YCO
P O D I A T R YCO
P O D I A T R YCO
-CO

Reviews

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Frequently asked questions

Is there an official ID for KELLY NOONAN (D.P.M.) in U.S. healthcare records?
The official identifier for KELLY NOONAN (D.P.M.) is NPI 1922459973.
Would KELLY NOONAN (D.P.M.) appear as active to a payer?
You can treat KELLY NOONAN (D.P.M.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is KELLY NOONAN (D.P.M.)?
KELLY NOONAN (D.P.M.) is associated with Foot & Ankle Surgery Podiatrist in the directory — Clinical services aligned with this taxonomy classification.
Is KELLY NOONAN (D.P.M.) located near North Andover?
KELLY NOONAN (D.P.M.) currently maps to North Andover, Massachusetts in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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