JESSICA MARIE KELLY (DO) – Family Medicine Physician, NPI 1164163887
Family Medicine Physician
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
4,432 FAMILY PRACTICE in OH
Provider Addresses for JESSICA MARIE KELLY (DO)
7450 Hospital Dr Ste 4500
Dublin, OH 430169693
Phone: (614) 788-0588
Fax: (614) 788-0587
Type: Location
6905 Hospital Dr Ste 130
Dublin, OH 430169600
Phone: (614) 923-0300
Type: Location
7450 HOSPITAL DR STE 4500
DUBLIN, OH 430169693
Phone: (614) 788-0588
Fax: (614) 788-0587
Type: Mailing
4 ALLEGHENY CTR FL 7
PITTSBURGH, PA 152125227
Phone:
Type: Mailing
114 GALLERY DR
MC MURRAY, PA 153172690
Phone: (412) 831-8089
Type: Location
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: 2025-07-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240712001859 | I | Family Practice | OH | TBD |
| I20250718001967 | I | Family Practice | 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 43016)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | PA | |
| Family Practice | PA | |
| Family Practice | PA | |
| Physician Assistant | PA | |
| Physician Assistant | PA | |
| Family Practice | PA | |
| Family Practice | PA | |
| Physician Assistant | PA | |
| Family Practice | PA | |
| Family Practice | PA |
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