Colleen Kelly
NPI 1083196968 · Medical Physician Assistant · New York, NY
Enrolled with Medicare as Order and Referring Only - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Colleen Kelly is a Medical Physician Assistant provider in New York, NY (NPI 1083196968).
Provider details
- NPI number
- 1083196968
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-09-06
- Last updated
- 2018-09-06
Frequently asked questions
- What is Colleen Kelly's NPI number?
- Colleen Kelly's National Provider Identifier (NPI) is 1083196968, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Colleen Kelly's specialty?
- Colleen Kelly is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Colleen Kelly located?
- Colleen Kelly's practice location on file with NPPES is 170 William St, New York, NY 10038-2612.
- What is Colleen Kelly's phone number?
- The practice phone number listed in the NPPES registry for Colleen Kelly is (212) 312-5000.
- Does Colleen Kelly accept Medicare?
- Colleen Kelly is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Colleen Kelly's NPI active?
- Yes — Colleen Kelly's NPI (1083196968) is active in the NPPES registry as of the last update on 2018-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.