KELLY O'DONNELL (PA-C) – Physician Assistant, NPI 1447500319

KELLY O'DONNELL (PA-C) is a healthcare provider. based in Denville, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 25MP00288700 (NJ). The NPI Number for KELLY O'DONNELL (PA-C) is 1447500319

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
KELLY O'DONNELL (PA-C)
NPI
1447500319
Phone
Not provided
Address
7 BERDONE CT
Enumeration Date
18 September 2012
Last Update Date
23 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9739715596
Graduation Year
2012 (14 years ago)
PAC ID
7214182245
Group Practice PAC ID
5890703177
Professional Enrollment ID
I20130225000034
Address ID
NJ079606136MO100XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

3,578 PHYSICIAN ASSISTANT in NJ

Provider Addresses for KELLY O'DONNELL (PA-C)

  • 7 BERDONE CT

    DENVILLE, NJ 078343622

    Phone:

    Type: Mailing

  • 55 MADISON AVENUE

    SUITE 310

    MORRISTOWN, NJ 079607397

    Phone: (973) 993-9536

    Type: Location

  • 741 Northfield Ave Ste 203

    West Orange, NJ 070521104

    Phone: (973) 379-2111

    Fax: (973) 379-2807

    Type: Location

  • 333 Mount Hope Ave Ste 230

    Rockaway, NJ 078661656

    Phone: (973) 379-2111

    Fax: (973) 379-2807

    Type: Location

  • PO BOX 416457

    BOSTON, MA 022416457

    Phone: (844) 362-1735

    Fax: (973) 290-7495

    Type: Mailing

  • 385 MORRIS AVE FL 2

    SPRINGFIELD, NJ 070811151

    Phone: (973) 329-2111

    Fax: (973) 379-2807

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 67 Open Payments records for all available years, with a total value of $1,418.

Total Amount is formed as General ($1,418) + Research ($0) + Ownership ($0) = $1,418.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: PFIZER INC. ($202).

Total Amount

$1,418

General + Research + Ownership

Payments

67

Total payment records

General Amount

$1,418

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2013-02-25

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
I20130225000034IPhysician AssistantNJTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes211100$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes10562$0
99213Established patient office or other outpatient visit, 20-29 minutes4838$0
99212Established patient office or other outpatient visit, 10-19 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 07834)

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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: 5890703177View full group profile

Reviews

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Frequently asked questions

What federal number belongs to KELLY O'DONNELL (PA-C)?
The federal identifier for KELLY O'DONNELL (PA-C) is NPI 1447500319.
Is KELLY O'DONNELL (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does KELLY O'DONNELL (PA-C) work in?
You can think of KELLY O'DONNELL (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Does KELLY O'DONNELL (PA-C) practice in New Jersey?
You will see Denville, New Jersey on file for KELLY O'DONNELL (PA-C) alongside any extra practice locations.
How can I contact KELLY O'DONNELL (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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