JAMIE L KELLY (PA) – Physician Assistant, NPI 1407805708

JAMIE L KELLY (PA) is a healthcare provider. based in Burlington, Vermont. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 055-0031104 (VT). The NPI Number for JAMIE L KELLY (PA) is 1407805708

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
JAMIE L KELLY (PA)
NPI
1407805708
Phone
(802) 847-0000
Address
111 COLCHESTER AVE
Enumeration Date
6 May 2006
Last Update Date
17 June 2011

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
8028470000
Graduation Year
2002 (24 years ago)
PAC ID
7416099205
Group Practice PAC ID
3779491071
Professional Enrollment ID
I20110725000006
Address ID
VT054011473BU111XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

385 PHYSICIAN ASSISTANT in VT

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Provider Addresses for JAMIE L KELLY (PA)

  • University of Vermont Medical Center, 111, Colchester Avenue, Burlington, Chittenden County, Vermont, 05401, United States

    ACCMP2

    BURLINGTON, VT 054011473

    Phone: (802) 847-0000

    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)

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: 2011-07-25

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
I20110725000006IPhysician AssistantVTTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3011$0
38222Biopsy and aspiration of bone marrow sample for diagnosis2523$0
View full utilization report →

Insurance plans in this area (ZIP 05401)

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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: 3779491071View full group profile

Reviews

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Frequently asked questions

What identifier follows JAMIE L KELLY (PA) across health systems?
The NPI 1407805708 uniquely identifies JAMIE L KELLY (PA) in U.S. healthcare data.
Should I treat JAMIE L KELLY (PA) as an active provider?
Patients and plans typically see JAMIE L KELLY (PA) as active in the national extract.
What type of care does JAMIE L KELLY (PA) provide?
JAMIE L KELLY (PA)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to JAMIE L KELLY (PA)?
JAMIE L KELLY (PA) shows a connection to Burlington, Vermont in registry-derived data.
Who maintains JAMIE L KELLY (PA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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