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

Grace Kelly, PA-C

Individual provider Physician Assistant · NPI 1396617650

Grace Kelly, PA-C is a Physician Assistant in Ephrata, Pennsylvania. Qualified in 2025, 1 year ago. Licensed in Pennsylvania.

Years since qualifying
1
Licensed in
PA
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

895 E Main St
Ephrata, PA 17522-2545
Phone: (717) 721-4585
Fax: (717) 721-4597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA067581 (PA)

Record details

NPI number1396617650
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 18, 2025
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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