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

Kellie Anne Mellon

Individual provider Family Nurse Practitioner · NPI 1134553332

Kellie Anne Mellon is a Nurse Practitioner in Paoli, Pennsylvania. Qualified in 2012, 14 years ago. Practices with Manos Family Practice PC, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
14
Licensed in
PA
In the registry since
2013
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Practice location Address checks out

1776 E Lancaster Ave
Paoli, PA 19301-1550
Phone: (610) 647-4366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP012992 (PA)

Record details

NPI number1134553332
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 25, 2013
Last updated in NPPESAugust 25, 2013

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Manos Family Practice Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Paoli