Individual ProviderKiley FeltonNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address4815 Liberty Ave Ste 322, Pittsburgh, PA 15224-2156(412) 578-4484PECOS EnrollmentBased on the most recent information from CMS, provider Kiley Felton is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1831577204Provider TypeIndividualFull NameFelton, KileyCredentialCRNPGenderFemaleSole ProprietorNoEnumeration Date5/18/2015Last Updated10/1/2020Contact InformationPractice LocationPractice Address4815 Liberty Ave Ste 322, Pittsburgh, PA 15224-2156Phone(412) 578-4484Fax(412) 578-3536Mailing LocationMailing Address4815 Liberty Ave Ste 322, Pittsburgh, PA 15224-2156Phone(412) 578-4484Fax(412) 578-3536Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseSP014801PennsylvaniaProvider IdentifiersIDDescriptionIssuerID103031068DescriptionMedicaidIssuerUnlistedPennsylvania