Carissa M Kelly, CNP - Medicare Nurse Practitioner in Canton, MA

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Carissa M Kelly, CNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Canton, Massachusetts. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Impact Health Pc, Ibis Health Services- Massachusetts, Llc, Tapestry Telehealth Pllc, Visavis Health Care Medical Group Of Ma Pllc, Post Acute Telehealth Pc, Tapestry Telehealth Pllc, Visavis Health Care Medical Group Of Nh Llc, Ibis Health Services-new Hampshire Pllc, Visavis Health Care Medical Group Of Me Pllc, Tapestry Telehealth Pllc, Visiting Services, Llc, Visavis Health Care Medical Group Of Ny, Pllc, Garumuni Anura Desilva, Md Pc, Parcare Community Health Network Inc, Peyman Younesi Md Pllc, Chess Medicine Pllc, Tapestry Telehealth Pllc, Visavis Health Care Medical Group Of Pennsylvania Pllc, Impact Health Pc, Ibis Health Services- Massachusetts, Llc, Tapestry Telehealth Pllc, Tapestry Telehealth Pllc, Post Acute Telehealth Pc, Tapestry Telehealth Pllc, Tapestry Telehealth Pllc, Tapestry Telehealth Pllc, Post Acute Telehealth Pc, Visavis Health Care Medical Group Of Wv Pllc, Tapestry Telehealth Pllc, Tapestry Telehealth Pllc, Tapestry Telehealth Pllc and her current practice location is 45 Dan Rd, Canton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (914) 525-8692.

Carissa M Kelly is licensed to practice in New York (license number F311018-01) 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 1821307646.

Contact Information

Carissa M Kelly, CNP
45 Dan Rd,
Canton, MA 02021-2852
(914) 525-8692
(630) 376-7615

Map and Direction




Provider's Profile

Full NameCarissa M Kelly
GenderFemale
SpecialityNurse Practitioner
Experience14 Years
Location45 Dan Rd, Canton, Massachusetts
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:
  • Carissa M Kelly graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1821307646
  • Provider Enumeration Date: 09/28/2010
  • Last Update Date: 10/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2264627132
  • Enrollment ID: I20101117001009

Medical Identifiers

Medical identifiers for Carissa M Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821307646NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health F311018-01 (New York)Primary
363LA2200XNurse Practitioner - Adult Health RN276785 (Massachusetts)Secondary
363LA2200XNurse Practitioner - Adult Health APRN02561 (Rhode Island)Secondary
363LA2200XNurse Practitioner - Adult Health 084141-23 (New Hampshire)Secondary
363LA2200XNurse Practitioner - Adult Health 4704397659 (Michigan)Secondary
363LA2200XNurse Practitioner - Adult Health APRN11021654 (Florida)Secondary
363LA2200XNurse Practitioner - Adult Health 7947 (Connecticut)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Elliot HospitalManchester, NHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Impact Health Pc094156266446
Ibis Health Services- Massachusetts, Llc44869989945
Tapestry Telehealth Pllc478994233589
Visavis Health Care Medical Group Of Ma Pllc509216296615
Post Acute Telehealth Pc963858539119
Tapestry Telehealth Pllc478994233589
Visavis Health Care Medical Group Of Nh Llc135579611116
Ibis Health Services-new Hampshire Pllc44869044222
Visavis Health Care Medical Group Of Me Pllc408206170011
Tapestry Telehealth Pllc478994233589
Visiting Services, Llc296182484220
Visavis Health Care Medical Group Of Ny, Pllc387092351943
Garumuni Anura Desilva, Md Pc468805653410
Parcare Community Health Network Inc498182339075
Peyman Younesi Md Pllc4981860202110
Chess Medicine Pllc640626073626
Tapestry Telehealth Pllc478994233589
Visavis Health Care Medical Group Of Pennsylvania Pllc630521885021
Impact Health Pc094156266446
Ibis Health Services- Massachusetts, Llc44869989945
Tapestry Telehealth Pllc478994233589
Tapestry Telehealth Pllc478994233589
Post Acute Telehealth Pc963858539119
Tapestry Telehealth Pllc478994233589
Tapestry Telehealth Pllc478994233589
Tapestry Telehealth Pllc478994233589
Post Acute Telehealth Pc963858539119
Visavis Health Care Medical Group Of Wv Pllc822447813610
Tapestry Telehealth Pllc478994233589
Tapestry Telehealth Pllc478994233589
Tapestry Telehealth Pllc478994233589

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. Carissa M Kelly allows following entities to bill medicare on her behalf.
Entity NameAniket Chakrabarti
Entity TypePractitioner - General Practice
Entity IdentifiersNPI Number: 1932282936
PECOS PAC ID: 8921042144
Enrollment ID: I20080215000115
Entity NameAtrius Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871639914
PECOS PAC ID: 4789588641
Enrollment ID: O20031121000582
Entity NameCare Dimensions Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316084890
PECOS PAC ID: 7214924554
Enrollment ID: O20040428000726
Entity NameLown Cardiovascular Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821047630
PECOS PAC ID: 1254395536
Enrollment ID: O20041116000958
Entity NameOuter Cape Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841384013
PECOS PAC ID: 4385554971
Enrollment ID: O20050407000226
Entity NameAtlantic Primary Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326015454
PECOS PAC ID: 5496787707
Enrollment ID: O20050908000111
Entity NameLowney Medical Associates, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447315239
PECOS PAC ID: 9234205394
Enrollment ID: O20080915000198
Entity NameIdeal Healthcare Solutions Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033358536
PECOS PAC ID: 0042376899
Enrollment ID: O20090304000179
Entity NameSound Physicians Of Massachusetts Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740678408
PECOS PAC ID: 2062554637
Enrollment ID: O20100120000133
Entity NameNew England Community Medical Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427376516
PECOS PAC ID: 8628102928
Enrollment ID: O20100820000851
Entity NamePrime Medical Associates,llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316261993
PECOS PAC ID: 0446376487
Enrollment ID: O20100927001093
Entity NameSteward Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629398219
PECOS PAC ID: 2860688728
Enrollment ID: O20101119000007
Entity NameBoston Neurobehavioral Associates Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558415307
PECOS PAC ID: 9436142429
Enrollment ID: O20120926000381
Entity NamePinnacle Healthcare Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942635339
PECOS PAC ID: 0244466076
Enrollment ID: O20131126000705
Entity NameLianne Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457773541
PECOS PAC ID: 4587889365
Enrollment ID: O20140711000113
Entity NameBond Medical Consultants Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629479472
PECOS PAC ID: 1759606338
Enrollment ID: O20150203001604
Entity NameLawrence General Community Medical Service Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174076418
PECOS PAC ID: 4486941473
Enrollment ID: O20160919001845
Entity NamePractitioner Support Services Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114115706
PECOS PAC ID: 3375596984
Enrollment ID: O20170714001388
Entity NameSound Physicians Of Massachusetts Ii Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306376397
PECOS PAC ID: 9436421567
Enrollment ID: O20170823003703
Entity NameMassachusetts Post Acute Medical Services 1 Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699204503
PECOS PAC ID: 5890069041
Enrollment ID: O20170927000151
Entity NameTapestry Telehealth Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992215446
PECOS PAC ID: 4789942335
Enrollment ID: O20180205001224
Entity NameMa Pacs 2 Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265918791
PECOS PAC ID: 4284983628
Enrollment ID: O20180820000495
Entity NameIbis Health Services- Massachusetts, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790273563
PECOS PAC ID: 4486998994
Enrollment ID: O20181210001705
Entity NameWorcester Physicians And Nurses Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164993291
PECOS PAC ID: 3375884703
Enrollment ID: O20190411000759
Entity NameVantage Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366903551
PECOS PAC ID: 8224361191
Enrollment ID: O20190607000976
Entity NameBoston Senior Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740839208
PECOS PAC ID: 6103258959
Enrollment ID: O20191115001274
Entity NameCircle Medical Team Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942832027
PECOS PAC ID: 2860822905
Enrollment ID: O20200414000775
Entity NameImpact Health Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730694316
PECOS PAC ID: 0941562664
Enrollment ID: O20201203002217
Entity NameDana Medicine Surgery And Wound Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053987388
PECOS PAC ID: 4587064878
Enrollment ID: O20210608001392
Entity NameCareathome Medical Practice Ma Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477123321
PECOS PAC ID: 4385049162
Enrollment ID: O20210817001115
Entity NameTapestry Telehealth Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992215446
PECOS PAC ID: 4789942335
Enrollment ID: O20220117000400
Entity NamePrime Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275121808
PECOS PAC ID: 0749660926
Enrollment ID: O20220706000574
Entity NamePost Acute Telehealth Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164011185
PECOS PAC ID: 9638585391
Enrollment ID: O20221005003297
Entity NameBay Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659097483
PECOS PAC ID: 4880063726
Enrollment ID: O20221215000614
Entity NamePai Participant Ma Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932984317
PECOS PAC ID: 9537513684
Enrollment ID: O20230925000533
Entity NameVisavis Health Care Medical Group Of Ma Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053190223
PECOS PAC ID: 5092162966
Enrollment ID: O20231114003523
Entity NameNew York Remote Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992425037
PECOS PAC ID: 5395121628
Enrollment ID: O20240517002755

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. Carissa M 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
Carissa M Kelly, CNP
22 Fales Rd,
Sharon, MA 02067-1086

Ph: (914) 525-8692		Carissa M Kelly, CNP
45 Dan Rd,
Canton, MA 02021-2852

Ph: (914) 525-8692

Reviews and Comments


Nurse Practitioner Nurses in Canton, MA

Jessica Dias, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 45 Dan Rd, Canton, MA 02021
Phone: 781-867-2050    
John Leonard Goncalo, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 709 Washington St, Canton, MA 02021
Phone: 781-828-5351    
Michele Whitaker, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 275 Turnpike St Ste 206, Canton, MA 02021
Phone: 508-566-4032    
Mr. David William Molway, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 37 Algonquin Rd, Canton, MA 02021
Phone: 617-966-0415    
Mrs. Phuc Ha Phuong Nguyen, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1017 Turnpike St Ste 33, Canton, MA 02021
Phone: 781-236-7343    Fax: 781-806-1026
Christiana Chioma Egwim,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1017 Turnpike St Ste 36b, Canton, MA 02021
Phone: 617-943-5606    
Alanna Shuman, CPNP, PMHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 340 Turnpike St Ste 1-3a, Canton, MA 02021
Phone: 781-619-1500    Fax: 781-619-1509

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.