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

Kelly A Peszko

Individual provider Adult Health Nurse Practitioner · NPI 1205293131

Kelly A Peszko is a Nurse Practitioner in Bala Cynwyd, Pennsylvania. Qualified in 2015, 11 years ago. Practices with Trivalley Primary Care PC, a 57-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
11
Licensed in
PA
In the registry since
2016

Practice location Address checks out

2 Bala Plz Ste IL-27
Bala Cynwyd, PA 19004-1501
Phone: (610) 668-9999
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence SP015608 (PA)

Record details

NPI number1205293131
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 22, 2016
Last updated in NPPESJanuary 22, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Trivalley Primary Care Pc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bala Cynwyd