Kelly Bevilaqua-Tracy, PA
NPI 1114179637 · Physician Assistant · Scranton, PA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Bevilaqua-Tracy, PA is a Physician Assistant provider in Scranton, PA (NPI 1114179637).
Provider details
- NPI number
- 1114179637
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- MA053585 (PA)
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
17 yrs in NPPES registry
- Profile completeness38% of score
100% 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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metoprolol Tartrate | 21 | 13 |
| Clopidogrel Bisulfatebrand: Clopidogrel | 20 | — |
| Warfarin Sodium | 14 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-10-15
- Last updated
- 2020-12-30
- Certified
- 2020-12-30
Frequently asked questions
- What is Kelly Bevilaqua-Tracy's NPI number?
- Kelly Bevilaqua-Tracy's National Provider Identifier (NPI) is 1114179637, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Bevilaqua-Tracy's specialty?
- Kelly Bevilaqua-Tracy is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kelly Bevilaqua-Tracy located?
- Kelly Bevilaqua-Tracy's practice location on file with NPPES is 1800 Mulberry St, Scranton, PA 18510-2369.
- What is Kelly Bevilaqua-Tracy's phone number?
- The practice phone number listed in the NPPES registry for Kelly Bevilaqua-Tracy is (570) 703-4830.
- Does Kelly Bevilaqua-Tracy accept Medicare?
- Kelly Bevilaqua-Tracy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Bevilaqua-Tracy's NPI active?
- Yes — Kelly Bevilaqua-Tracy's NPI (1114179637) is active in the NPPES registry as of the last update on 2020-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.