Look up the most recent NPI and PECOS records

Chad Kelley

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

987400 Nebraska Medical Ctr, Omaha, NE 68198-7400

PECOS Enrollment

Based on the most recent information from CMS, provider Chad Kelley is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1760850853
Provider Type
Individual
Full Name
Kelley, Chad
Gender
Male

Sole Proprietor
No
Enumeration Date
9/8/2015
Last Updated
4/6/2016

Contact Information

Practice Location

987400 Nebraska Medical Ctr, Omaha, NE 68198-7400

(402) 559-7000

(402) 559-7592

Mailing Location

988102 Nebraska Medical Ctr, Omaha, NE 68198-8102

(402) 559-6195

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 1943 Nebraska

Chad Kelley

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Sobotka, Jenna L

Reinhart, Madison Shea

Schoonover, Michaela M

Shah, Simran Dharmesh

Maciolek, Mia Catherine

Feilner, Zoe A

Hensley, Brandi L

Yoshida, Noah K

Lynn, Amanda J

Failla, Jessica