MRS. CARLY KELLY (PA-C) – Medical Physician Assistant, NPI 1508230343

MRS. CARLY KELLY (PA-C) is a healthcare provider. based in Pittsburgh, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. OA003675 (PA). The NPI Number for MRS. CARLY KELLY (PA-C) is 1508230343

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CARLY KELLY (PA-C)
NPI
1508230343
Phone
(412) 496-9657
Address
775 FRANK ST
Enumeration Date
17 November 2015
Last Update Date
14 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
9931406626
Group Practice PAC ID
6608771761
Professional Enrollment ID
I20160323001995
Address ID
PA152411041PI180XXRDXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:10State licenses:2Digital endpointsOther names

9,738 PHYSICIAN ASSISTANT in PA

Provider Addresses for MRS. CARLY KELLY (PA-C)

  • 775 FRANK ST

    PITTSBURGH, PA 152271250

    Phone: (412) 496-9657

    Type: Mailing

  • 180 FORT COUCH RD STE 375

    PITTSBURGH, PA 152411080

    Phone: (412) 833-8811

    Type: Mailing

  • 180 FORT COUCH RD

    PITTSBURGH, PA 152411041

    Phone: (412) 833-8811

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 217 Open Payments records for all available years, with a total value of $4,195.

Total Amount is formed as General ($4,195) + Research ($0) + Ownership ($0) = $4,195.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($833).

Total Amount

$4,195

General + Research + Ownership

Payments

217

Total payment records

General Amount

$4,195

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

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: 2016-03-23

PECOS data refreshed: 2026-06-15

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
I20160323001995IPhysician AssistantPATBD

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
95117Professional service for multiple injections of allergen3323$0
95115Professional service for single injection of allergen2016$0
View full utilization report →

Insurance plans in this area (ZIP 15227)

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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: 6608771761View full group profile
NameSpecialtyState
A L L E R G Y/ I M M U N O L O G YPA
Allergy/Immunology, Pediatric MedicinePA
Physician AssistantPA
Allergy/Immunology, Internal MedicinePA

Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. CARLY KELLY (PA-C)?
MRS. CARLY KELLY (PA-C) — NPI 1508230343 — is the standard way to identify this listing.
Can I rely on MRS. CARLY KELLY (PA-C) being an active provider?
As of the registry snapshot, MRS. CARLY KELLY (PA-C) is marked active.
What is MRS. CARLY KELLY (PA-C) best known for clinically?
Directory data describes MRS. CARLY KELLY (PA-C) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. CARLY KELLY (PA-C)?
MRS. CARLY KELLY (PA-C)'s geographic hint is Pittsburgh, Pennsylvania in our summary view.
Is the information about MRS. CARLY KELLY (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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