COLLEEN ALYCE KELLY (PA-C) – Physician Assistant, NPI 1922481498
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,366 PHYSICIAN ASSISTANT in MD
Provider Addresses for COLLEEN ALYCE KELLY (PA-C)
535 21ST AVE
ALTOONA, PA 166014139
Phone: (814) 502-5495
Type: Mailing
12500 WILLOWBROOK RD
CUMBERLAND, MD 215026393
Phone: (814) 502-5495
Type: Location
12500 Willowbrook Rd
Cumberland, MD 215026393
Phone: (814) 502-5495
Type: Location
2525 9TH AVE STE 2B
ALTOONA, PA 166022014
Phone: (814) 201-2835
Type: Mailing
115 S BEDFORD ST
BEDFORD, PA 155221410
Phone: (814) 502-5495
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 54 Open Payments records for all available years, with a total value of $932.
Total Amount is formed as General ($932) + Research ($0) + Ownership ($0) = $932.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($340).
Total Amount
$932
General + Research + Ownership
Payments
54
Total payment records
General Amount
$932
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $340 |
| PFIZER INC. | $107 |
| Lilly USA, LLC | $88 |
| GlaxoSmithKline, LLC. | $80 |
| Abbott Laboratories | $47 |
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: 2019-10-07
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 |
|---|---|---|---|---|
| I20150924000730 | I | Physician Assistant | PA | TBD |
| I20191007001574 | I | Physician Assistant | MD | 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 16601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | NC | |
| Physician Assistant | NC | |
| Internal Medicine | SC | |
| Orthopedic Surgery | MO | |
| - | CA | |
| Physical Therapist In Private Practice | MD | |
| Physician Assistant | NC | |
| Internal Medicine | TN | |
| Nurse Practitioner | AR | |
| - | CO |
Reviews
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