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

Kaitlin Kelly

Individual provider Registered Nurse · NPI 1710557350

Kaitlin Kelly is a Nurse Practitioner in Salem, Massachusetts. Qualified in 2021, 5 years ago. Practices with North Shore Medical Center, Inc, a 44-clinician group and offers telehealth. Licensed in Massachusetts.

Years since qualifying
5
Licensed in
MA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

55 Highland Ave Ste 201
Salem, MA 01970-2100
Phone: (978) 825-6620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN2308789 (MA)
Registered Nurse Taxonomy 163W00000X · Licence RN2308789 (MA)

Record details

NPI number1710557350
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 27, 2021
Last updated in NPPESFebruary 12, 2025
Certification dateFebruary 12, 2025
Mailing address55 Highland Ave Ste 201, Salem, MA 01970-2100

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice North Shore Medical Center, Inc. — 44 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Salem