KATHERINE A KELLY – Audiologist, NPI 1942745237

KATHERINE A KELLY is a healthcare provider. based in Milwaukie, Oregon. specializing in QUALIFIED AUDIOLOGIST. They hold a License No. 30871 (OR). The NPI Number for KATHERINE A KELLY is 1942745237

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE A KELLY
NPI
1942745237
Phone
Not provided
Address
10330 SE 32ND AVE
Enumeration Date
22 December 2016
Last Update Date
13 May 2025

Doctor Profile

Medical School Name
PACIFIC MEDICAL COLLEGE
Secondary Phone
5035138693
Graduation Year
2016 (10 years ago)
PAC ID
3072896554
Group Practice PAC ID
8628417508
Professional Enrollment ID
I20170207001684
Address ID
OR972226596MI10330AVEX404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

132 QUALIFIED AUDIOLOGIST in OR

Provider Addresses for KATHERINE A KELLY

  • 10330 SE 32ND AVE

    320

    MILWAUKIE, OR 972226587

    Phone:

    Type: Mailing

  • 10024 SE 32ND AVE

    MILWAUKIE, OR 972226514

    Phone: (503) 513-8693

    Fax: (503) 659-2191

    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: 2017-02-07

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
I20170207001684IQualified AudiologistORTBD

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
92557Comprehensive hearing and speech recognition test122115$0
92567Test to assess middle ear function107102$0
View full utilization report →

Insurance plans in this area (ZIP 97222)

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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: 8628417508View full group profile
NameSpecialtyState
Qualified AudiologistOR
O T O L A R Y N G O L O G YOR
O T O L A R Y N G O L O G YWA
O T O L A R Y N G O L O G YOR

Reviews

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Frequently asked questions

How do I look up KATHERINE A KELLY by NPI?
Use NPI 1942745237 when you need to reference KATHERINE A KELLY in forms, claims, or directories.
Is KATHERINE A KELLY currently active in the NPI registry?
CMS-published data lists KATHERINE A KELLY as an active registrant.
What field does KATHERINE A KELLY work in?
You can think of KATHERINE A KELLY as practicing within Audiologist. Clinical services aligned with this taxonomy classification.
Where is KATHERINE A KELLY's primary listing?
We display Milwaukie, Oregon because that is what the record indicates for KATHERINE A KELLY.
How can I contact KATHERINE A KELLY?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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