Mary Jo Anne Kelly, PMHNP-BC - Medicare Nurse Practitioner in Mount Laurel, NJ

Mary Jo Anne Kelly, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mount Laurel, New Jersey. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Nj Memory And Behavioral Care and her current practice location is 100 Century Pkwy Ste 350, Mount Laurel, New Jersey. You can reach out to her office (for appointments etc.) via phone at (856) 482-9000.

Mary Jo Anne Kelly is licensed to practice in New Jersey (license number 26NJ00669700) 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 1558803809.

Contact Information

Mary Jo Anne Kelly, PMHNP-BC
100 Century Pkwy Ste 350,
Mount Laurel, NJ 08054-1149
(856) 482-9000
(856) 482-1159

Map and Direction




Provider's Profile

Full NameMary Jo Anne Kelly
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location100 Century Pkwy Ste 350, Mount Laurel, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mary Jo Anne Kelly graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1558803809
  • Provider Enumeration Date: 11/16/2016
  • Last Update Date: 02/26/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2365865730
  • Enrollment ID: I20210113002389

Medical Identifiers

Medical identifiers for Mary Jo Anne Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558803809NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 26NJ00669700 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Nj Memory And Behavioral Care771901326768

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. Mary Jo Anne Kelly allows following entities to bill medicare on her behalf.
Entity NameNj Memory And Behavioral Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538499181
PECOS PAC ID: 7719013267
Enrollment ID: O20100413000027

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. Mary Jo Anne Kelly 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 AddressPractice Location Address
Mary Jo Anne Kelly, PMHNP-BC
301 Lippincott Dr Ste 410,
Marlton, NJ 08053-4197

Ph: (856) 482-9000
Mary Jo Anne Kelly, PMHNP-BC
100 Century Pkwy Ste 350,
Mount Laurel, NJ 08054-1149

Ph: (856) 482-9000

Reviews and Comments


Nurse Practitioner Nurses in Mount Laurel, NJ

Mrs. Dianna M Shinkarow, MSN, APRN, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Century Pkwy Ste 140, Mount Laurel, NJ 08054
Phone: 856-380-2400    Fax: 856-234-7870
Ms. Erin Lynn Mccormick-kelly, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 501 Fellowship Rd, Mount Laurel, NJ 08054
Phone: 856-642-2133    
Mrs. Tieshau Middlebrooks, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1200 S Church St Ste 20, Mount Laurel, NJ 08054
Phone: 609-937-3491    Fax: 609-853-0221
Megan Canavan,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3201 Marne Hwy, Mount Laurel, NJ 08054
Phone: 856-235-2147    
Stephanie Ann Rogers, APN
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 100 Century Pkwy Ste 350, Mount Laurel, NJ 08054
Phone: 609-712-0796    
Jacqueline Burns, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3111 Route 38 Ste 11, Pmb 120, Mount Laurel, NJ 08054
Phone: 609-261-5755    Fax: 609-261-7199
Tracie Hawkins, MSN, APN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3906 Church Rd, Mount Laurel, NJ 08054
Phone: 856-266-5260    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.