Kathryn Kelley, LMHC, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Boston, Massachusetts. She graduated from healthcare school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Rivia Medical Pllc, Rivia Medical Pllc and her current practice location is
186 Lincoln St, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(212) 203-1773.
Kathryn Kelley is licensed to practice in Massachusetts (license number RN2363193) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1992186779.
Healthcare Provider's Profile
| Full Name | Kathryn Kelley |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 186 Lincoln St, Boston, Massachusetts |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kathryn Kelley graduated from medical school in 2025
NPI Data:
- NPI Number: 1992186779
- Provider Enumeration Date: 06/17/2015
- Last Update Date: 06/08/2026
Medicare PECOS Information:
- PECOS PAC ID: 8022534684
- Enrollment ID: I20250428000659
Medical Identifiers
Medical identifiers for Kathryn Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992186779 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN2363193 (Massachusetts) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Rivia Medical Pllc | 4880009943 | 67 |
| Rivia Medical Pllc | 4880009943 | 67 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kathryn Kelley allows following entities to bill medicare on her behalf.
| Entity Name | Rivia Medical Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134644032
PECOS PAC ID: 4880009943
Enrollment ID: O20231117002907 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathryn Kelley is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Kathryn Kelley, LMHC, PMHNP-BC
274 Madison Ave,
New York, NY 10016-0701
Ph: (212) 203-1773 | Kathryn Kelley, LMHC, PMHNP-BC
186 Lincoln St,
Boston, MA 02111-2403
Ph: (212) 203-1773 |
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