WILLIAM JAMES KELLY (FNP-C) – Nurse Practitioner, NPI 1629574637
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,574 NURSE PRACTITIONER in NJ
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Provider Addresses for WILLIAM JAMES KELLY (FNP-C)
Clothier Hall, 590, George Street, New Brunswick, Middlesex County, New Jersey, 08901-8531, United States
NEW BRUNSWICK, NJ 089018531
Phone: (570) 709-3599
Type: Mailing
2418 E York St
Philadelphia, PA 191253006
Phone: (407) 565-9597
Fax: (407) 550-3923
Type: Location
525 ROUTE 73 N STE 117
MARLTON, NJ 080533422
Phone: (407) 565-9597
Fax: (407) 550-3923
Type: Location
3425 Simpson Ferry Rd Ste 100
Camp Hill, PA 170116405
Phone: (223) 488-4700
Fax: (407) 550-3923
Type: Location
150 Monument Rd Ste 207
Bala Cynwyd, PA 190041725
Phone: (610) 680-2051
Fax: (407) 550-3923
Type: Location
479 Route 520
Suite B201
Marlboro, NJ 07746
Phone: (856) 588-7409
Fax: (407) 550-3923
Type: Location
2725 Sand Arbor Cir
Orlando, FL 328244761
Phone: (407) 565-9597
Fax: (407) 550-3923
Type: Location
240 W 37th St Fl 5
New York, NY 100185787
Phone: (917) 720-0288
Fax: (407) 550-3923
Type: Location
5800 Corporate Dr Ste 300
Pittsburgh, PA 152377098
Phone: (412) 550-3709
Fax: (407) 550-3923
Type: Location
2725 SAND ARBOR CIR
ORLANDO, FL 328244761
Phone: (407) 565-9597
Fax: (407) 550-3923
Type: Mailing
103 ROUTE 70 E STE 2
MARLTON, NJ 080531890
Phone: (856) 588-7409
Fax: (407) 550-3923
Type: Location
14332 TAMBOURINE DR
ORLANDO, FL 328377038
Phone: (570) 709-3599
Fax: (732) 605-5763
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-06-06
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191030002611 | I | Nurse Practitioner | NJ | TBD |
| I20250121003237 | I | Nurse Practitioner | FL | TBD |
| I20250328000733 | I | Nurse Practitioner | NY | TBD |
| I20250606001266 | I | Nurse Practitioner | PA | TBD |
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.
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 08901)
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