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

Kelcey Nellis, PA-C

Individual provider Physician Assistant · NPI 1497417992

Kelcey Nellis, PA-C is a Physician Assistant in Latham, New York. Qualified in 2021, 5 years ago. Practices with Latham Dermatology PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

711 Troy Schenectady Rd Ste 211
Latham, NY 12110-2461
Phone: (518) 783-8780
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 027273 (NY)

Record details

NPI number1497417992
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 12, 2021
Last updated in NPPESJune 28, 2024
Certification dateJune 12, 2024
Mailing address1 Ann Lee Ct, Latham, NY 12110-4956

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Latham Dermatology Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Latham