KELLI BISHOP – Physician Assistant, NPI 1679882583

KELLI BISHOP is a healthcare provider. based in Monaca, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold a License No. MA054603 (PA). The NPI Number for KELLI BISHOP is 1679882583

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
KELLI BISHOP
NPI
1679882583
Phone
Not provided
Address
3452 BRODHEAD RD
Enumeration Date
28 September 2010
Last Update Date
24 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4126924920
Graduation Year
2010 (16 years ago)
PAC ID
5991985277
Group Practice PAC ID
8729990239
Professional Enrollment ID
I20110203000115
Address ID
PA152133206PI3471XAVEX303
Telehealth
Yes

Contacts

Secure Messaging
upmchospitals@upmcdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

9,691 PHYSICIAN ASSISTANT in PA

Provider Addresses for KELLI BISHOP

  • 3452 BRODHEAD RD

    MONACA, PA 150613132

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-06-26 • Largest payer in this snapshot: PFIZER INC. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$18
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: 2011-02-03

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
I20110203000115IPhysician 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
99215Established patient office or other outpatient visit, 40-54 minutes7649$0
99214Established patient office or other outpatient visit, 30-39 minutes3129$0
99213Established patient office or other outpatient visit, 20-29 minutes1611$0
View full utilization report →

Insurance plans in this area (ZIP 15061)

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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: 8729990239View full group profile
NameSpecialtyState
Anesthesiology, Critical Care (Intensivists)PA
-PA
-PA
Cardiac Surgery, General SurgeryPA
Nurse PractitionerPA
-PA
-MD
-SC
-PA
-PA

Reviews

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Frequently asked questions

What is KELLI BISHOP's NPI number?
KELLI BISHOP's NPI is 1679882583 — the number used across U.S. healthcare to identify this provider.
Is KELLI BISHOP still an active registrant?
KELLI BISHOP carries an active NPI according to the public dataset.
What expertise is attributed to KELLI BISHOP?
KELLI BISHOP's specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Pennsylvania is KELLI BISHOP registered?
Use Monaca, Pennsylvania as the headline location for KELLI BISHOP here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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