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

Kelley Decarlo

Individual provider Medical Physician Assistant · NPI 1275144180

Kelley Decarlo is a Physician Assistant in Newark, Delaware. Qualified in 2021, 5 years ago. Practices with Christiana Care Health Services Inc, a 1,481-clinician group, works from 3 locations and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

4755 Ogletown Stanton Rd Ste 5A43
Newark, DE 19718-2130
Phone: (302) 623-0188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 620 Stanton Christiana Rd Ste 203, Newark, DE 19713-2130 — (302) 338-9444
  • 625 Old Peachtree Rd Nw, Suwanee, GA 30024-2937 — (678) 225-7500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1275144180
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 13, 2020
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025
Mailing address4000 Nexus Dr Ste Nw2-100, Wilmington, DE 19803-3000

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 Christiana Care Health Services Inc — 1481 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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