Provider Profile

Colleen Kelly, P.A.

Unclaimed Profile

About Colleen Kelly

Colleen Kelly, P.A. is a physician assistant — surgical practicing in Commack, NY. Colleen trained at New York College of Podiatric Medicine, graduating in 2021. This provider record is associated with NPI 1972755205.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Physician Assistant — Surgical (Primary)

Credentials & Licensing

AZ license010544
NPI1972755205
NPI issued10/17/2008

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Colleen Kelly specialize in?

Colleen Kelly is a physician assistant in Commack, NY. That is the designation recorded for this NPI in the federal registry, where it is listed as “Physician Assistant — Surgical”.

NPI registry

Where is Colleen Kelly located?

Colleen Kelly is listed at 763 Larkfield Rd Fl 2, Commack, NY 11725. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Colleen Kelly's phone number?

The number on file is (631) 462-2225. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Colleen Kelly?

Colleen Kelly's National Provider Identifier is 1972755205. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Colleen Kelly train?

Colleen Kelly attended New York College of Podiatric Medicine, graduating in 2021. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Colleen Kelly have?

Colleen Kelly has 5 years experience. Calculated from a graduation year of 2021, reported in the CMS National Downloadable File.

CMS public data

Is Colleen Kelly's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Colleen Kelly. If this is you, claiming it is free.

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