JENNIFER L. KELLY-MCCOY (PAC) – Physician Assistant, NPI 1528048667
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JENNIFER L. KELLY-MCCOY (PAC)
PO BOX 252
BRYN MAWR, PA 190100252
Phone: (610) 436-6696
Fax: (610) 430-6023
Type: Mailing
915 OLD FERN HILL RD BLDG B
SUITE 201
WEST CHESTER, PA 193804269
Phone: (610) 436-6696
Fax: (610) 430-6023
Type: Location
4755 OGLETOWN STANTON RD STE 2E99
NEWARK, DE 197182200
Phone: (302) 733-5982
Fax: (302) 733-6081
Type: Mailing
4755 OGLETOWN STANTON ROAD
SUITE 2E99
NEWARK, DE 197182200
Phone: (302) 733-5982
Fax: (302) 733-6081
Type: Location
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 $137.
Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.
Last reported payment date: 2024-03-26 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($137).
Total Amount
$137
General + Research + Ownership
Payments
1
Total payment records
General Amount
$137
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $137 |
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: 2016-03-31
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160331001756 | I | Physician Assistant | DE | 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 19010)
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Reviews
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