Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carissa M Kelly, CNP

Individual provider Nurse Practitioner · NPI 1821307646

Carissa M Kelly, CNP is a Nurse Practitioner in Canton, Massachusetts. Qualified in 2010, 16 years ago. Practices with Ibis Health Services- Massachusetts LLC, a 10-clinician group, works from 8 locations, accepts Medicare assignment and offers telehealth. Licensed in Connecticut, Florida, Massachusetts and Maine and 4 more.

Years since qualifying
16
Licensed in
CT, FL, MA, ME, MI, NH
In the registry since
2010
Specialties on file
8
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

45 Dan Rd
Canton, MA 02021-2852
Phone: (914) 525-8692
Fax: (630) 376-7615
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (7)

  • 1094 Killingly Commons Dr, Dayville, CT 06241-2187 — (727) 601-4513
  • 122 Delaware Street Stef-5, New Castle, DE 19720-4814 — (949) 484-9517
  • 1980 E 116th St Ste 315, Carmel, IN 46032-3517 — (949) 484-9517
  • 701 N Green Valley Pkwy Ste 213, Henderson, NV 89074-6177 — (949) 484-9517
  • 635 Main St Ste 206a, Klamath Falls, OR 97601-6007 — (949) 484-9517
  • 128 Chestnut St Ste 303a2, Philadelphia, PA 19106-3024 — (949) 484-9517
  • 455 Toll Gate Rd, Warwick, RI 02886-2759 — (401) 737-7010

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F311018-01 (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence CNP211393 (ME)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence RN276785 (MA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence APRN02561 (RI)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 084141-23 (NH)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 4704397659 (MI)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence APRN11021654 (FL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 7947 (CT)

Record details

NPI number1821307646
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedSeptember 28, 2010
Last updated in NPPESJune 27, 2025
Certification dateJune 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Ibis Health Services- Massachusetts Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations21 on file with Medicare

Other providers in Canton