Mary Kelly, APN - Medicare Nurse Practitioner in Berkeley Heights, NJ

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Mary Kelly, APN is a medicare enrolled "Clinical Nurse Specialist - Oncology" in Berkeley Heights, New Jersey. She graduated from nursing school in 2004 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Summit Medical Group Pa and her current practice location is 1 Diamond Hill Rd, Berkeley Heights, New Jersey. You can reach out to her office (for appointments etc.) via phone at (908) 277-8890.

Mary Kelly is licensed to practice in New Jersey (license number 26NO10993300) 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 1922292820.

Contact Information

Mary Kelly, APN
1 Diamond Hill Rd,
Berkeley Heights, NJ 07922-2104
(908) 277-8890
(908) 673-7390

Map and Direction




Provider's Profile

Full NameMary Kelly
GenderFemale
SpecialityNurse Practitioner
Experience21 Years
Location1 Diamond Hill Rd, Berkeley Heights, 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 Kelly graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1922292820
  • Provider Enumeration Date: 09/04/2007
  • Last Update Date: 03/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3274614268
  • Enrollment ID: I20080116000132

Medical Identifiers

Medical identifiers for Mary Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922292820NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 26NJ00135500 (New Jersey)Secondary
364SX0200XClinical Nurse Specialist - Oncology 26NO10993300 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Overlook Medical CenterSummit, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group Pa53956422761147

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 Kelly allows following entities to bill medicare on her behalf.
Entity NameSummit Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942254347
PECOS PAC ID: 5395642276
Enrollment ID: O20031218000011
Entity NameRobert Wood Johnson Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902848625
PECOS PAC ID: 8628065117
Enrollment ID: O20040427001205

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 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 Kelly, APN
1 Diamond Hill Rd,
Berkeley Heights, NJ 07922-2104

Ph: (908) 273-4300		Mary Kelly, APN
1 Diamond Hill Rd,
Berkeley Heights, NJ 07922-2104

Ph: (908) 277-8890

Reviews and Comments


Clinical Nurse Specialist Nurses in Berkeley Heights, NJ

Carol G Boyer, NP
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Diamond Hill Rd, Summit Medical Group, Berkeley Heights, NJ 07922
Phone: 908-277-8890    Fax: 908-673-7390
Ms. Donna Davis Templeton, R.N., A.P.N,C, C.A.
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 40 Watchung Way, Berkeley Heights, NJ 07922
Phone: 908-771-5741    Fax: 908-771-5744
Dr. Ann Clarke Berkery, PHD, APRN, BC
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 230 Sherman Ave, Berkeley Heights, NJ 07922
Phone: 908-464-5711    Fax: 908-598-0413

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.