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

Colleen Kelly, PA

Individual provider Surgical Physician Assistant · NPI 1972755205

Colleen Kelly, PA is a Physician Assistant in Commack, New York. Graduated from New York College of Podiatric Medicine in 2021, 5 years ago. Practices with Chs Physician Partners PC, a 747-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
5
Trained at
New York College of Podiatric Medicine
Licensed in
AZ
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

763 Larkfield Rd Fl 2
Commack, NY 11725-3131
Phone: (631) 462-2225
Fax: (631) 670-2643
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 010544 (AZ)

Record details

NPI number1972755205
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 17, 2008
Last updated in NPPESOctober 17, 2008

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2021 (5 years in practice)
Group practice Chs Physician Partners Pc — 747 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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