MRS. STACY LYNNE KELLY (NP) – Family Nurse Practitioner, NPI 1619514742

MRS. STACY LYNNE KELLY (NP) is a healthcare provider. based in Mc donald, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. SP020956 (PA). The NPI Number for MRS. STACY LYNNE KELLY (NP) is 1619514742

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MRS. STACY LYNNE KELLY (NP)
NPI
1619514742
Phone
(724) 255-0858
Address
42 HIGHLAND DR
Enumeration Date
9 December 2019
Last Update Date
15 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4122761560
Graduation Year
2019 (7 years ago)
PAC ID
3072949411
Group Practice PAC ID
8527967256
Professional Enrollment ID
I20200204001245
Address ID
PA151064203CA2375XRDXX300
Telehealth
Yes

Contacts

Secure Messaging
Pamalyn.Patnesky@stclair.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness95
Years active:6State licenses:1Other names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for MRS. STACY LYNNE KELLY (NP)

  • 42 HIGHLAND DR

    MC DONALD, PA 150572820

    Phone: (724) 255-0858

    Type: Mailing

  • 1000 BOWER HILL ROAD

    ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN

    PITTSBURGH, PA 152431873

    Phone: (412) 924-2548

    Type: Mailing

  • 2375 Greentree Rd

    Carnegie, PA 151064203

    Phone: (412) 531-2902

    Fax: (412) 531-2948

    Type: Location

  • 161 Cecil B Moore Ave Apt 204

    Philadelphia, PA 191223243

    Phone: (866) 306-2026

    Type: Location

  • 1145 BOWER HILL RD STE 105

    PITTSBURGH, PA 152431346

    Phone: (412) 572-6194

    Fax: (412) 572-6195

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $748.

Total Amount is formed as General ($748) + Research ($0) + Ownership ($0) = $748.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($329).

Total Amount

$748

General + Research + Ownership

Payments

37

Total payment records

General Amount

$748

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2020-02-04

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
I20200204001245INurse PractitionerPATBD

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
81002Urinalysis, manual test429380$0
99214Established patient office or other outpatient visit, 30-39 minutes372335$0
51798Ultrasound measurement of bladder capacity after voiding9690$0
99213Established patient office or other outpatient visit, 20-29 minutes6868$0
J9217Leuprolide acetate (for depot suspension), 7.5 mg3611$0
View full utilization report →

Insurance plans in this area (ZIP 15057)

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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: 8527967256View full group profile
NameSpecialtyState
Family PracticePA
-PA
Family PracticePA
Family PracticePA
Internal MedicinePA
Nurse PractitionerPA
Family Practice, Geriatric MedicinePA
Family PracticePA
Family PracticePA
Internal MedicinePA

Reviews

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Frequently asked questions

What is the registry number for MRS. STACY LYNNE KELLY (NP)?
The registry entry for MRS. STACY LYNNE KELLY (NP) shows NPI 1619514742.
Should I treat MRS. STACY LYNNE KELLY (NP) as an active provider?
Patients and plans typically see MRS. STACY LYNNE KELLY (NP) as active in the national extract.
What services align with MRS. STACY LYNNE KELLY (NP)'s listing?
MRS. STACY LYNNE KELLY (NP)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to MRS. STACY LYNNE KELLY (NP)?
The directory associates MRS. STACY LYNNE KELLY (NP) with Mc Donald, Pennsylvania. Check all listed addresses for suites or satellite offices.
Who maintains MRS. STACY LYNNE KELLY (NP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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