Kelly Thibault, CRNP
NPI 1730597360 · Pediatric Nurse Practitioner · Newark, NJ
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Thibault, CRNP is a Pediatric Nurse Practitioner provider in Newark, NJ (NPI 1730597360).
Provider details
- NPI number
- 1730597360
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 382415 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
11 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
2 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$186 across 11 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 3601 a StPhiladelphia, PA 19134-1043Phone: (215) 427-5000
Registry dates
- Enumerated
- 2014-07-28
- Last updated
- 2025-08-26
- Certified
- 2025-08-26
Frequently asked questions
- What is Kelly Thibault's NPI number?
- Kelly Thibault's National Provider Identifier (NPI) is 1730597360, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Thibault's specialty?
- Kelly Thibault is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kelly Thibault located?
- Kelly Thibault's practice location on file with NPPES is 201 Lyons Ave, Newark, NJ 07112-2027.
- What is Kelly Thibault's phone number?
- The practice phone number listed in the NPPES registry for Kelly Thibault is (973) 926-7000.
- Does Kelly Thibault accept Medicare?
- Kelly Thibault is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Thibault's NPI active?
- Yes — Kelly Thibault's NPI (1730597360) is active in the NPPES registry as of the last update on 2025-08-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.