Kelly Omalley, NP - Medicare Nurse Practitioner in Lorain, OH

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Kelly Omalley, NP is a medicare enrolled "Nurse Practitioner - Family" in Lorain, Ohio. She graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Polk Emergency Group Llc and her current practice location is 1205 Broadway, Lorain, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 204-1655.

Kelly Omalley is licensed to practice in Ohio (license number RN302372) 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 1639587702.

Contact Information

Kelly Omalley, NP
1205 Broadway,
Lorain, OH 44052-3409
(440) 204-1655
(440) 233-0194

Map and Direction




Provider's Profile

Full NameKelly Omalley
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location1205 Broadway, Lorain, Ohio
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:
  • Kelly Omalley graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1639587702
  • Provider Enumeration Date: 08/01/2014
  • Last Update Date: 08/01/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 9537381256
  • Enrollment ID: I20180420000031

Medical Identifiers

Medical identifiers for Kelly Omalley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639587702NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN302372 (Ohio)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Polk Emergency Group Llc054724159821

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. Kelly Omalley allows following entities to bill medicare on her behalf.
Entity NameAdventist Health System/sunbelt, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073565610
PECOS PAC ID: 6406849256
Enrollment ID: O20040406001849
Entity NameParagon Contracting Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225071459
PECOS PAC ID: 3971417825
Enrollment ID: O20041207001148
Entity NamePolk Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558338574
PECOS PAC ID: 0547241598
Enrollment ID: O20050506000658
Entity NameParagon Emergency Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912101650
PECOS PAC ID: 8628153087
Enrollment ID: O20080310000143
Entity NameEmergency Medicine Services Of Fl Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043917180
PECOS PAC ID: 8426413931
Enrollment ID: O20230504001881

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. Kelly Omalley 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
Kelly Omalley, NP
2717 Joseph St,
Avon, OH 44011-1911

Ph: (216) 832-1137		Kelly Omalley, NP
1205 Broadway,
Lorain, OH 44052-3409

Ph: (440) 204-1655

Reviews and Comments


Nurse Practitioner Nurses in Lorain, OH

Kaitlin Davis, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5700 Cooper Foster Park Rd W, Lorain, OH 44053
Phone: 440-204-5700    
Rita Susec, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3600 Kolbe Rd Ste 11, Lorain, OH 44053
Phone: 440-222-4003    Fax: 440-960-4922
Ms. Kimberly Jean Bundridge, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3500 Kolbe Rd, Palliative Care Dept, Lorain, OH 44053
Phone: 440-934-1458    Fax: 440-960-4922
Olabisi Alabi,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6100 W Meadow Farm Ln, Lorain, OH 44053
Phone: 440-506-9961    
Megan Toth, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3700 Kolbe Rd, Lorain, OH 44053
Phone: 440-960-4000    
Kimberly Michelle Gilbert, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6140 S Broadway, Lorain, OH 44053
Phone: 440-233-5552    Fax: 440-204-4383
Ms. Ann Lise Scarbrough, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3288 Oberlin Ave, Lorain, OH 44053
Phone: 866-389-2727    

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.