Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly Irene Nordland, MS, PA-C

Individual provider Surgery Physician · NPI 1538623053

Kelly Irene Nordland, MS, PA-C is a Physician Assistant in Plainview, New York. Qualified in 2018, 8 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2019
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

888 Old Country Rd
Plainview, NY 11803-4914
Phone: (516) 719-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 023209 (NY)
Surgery Physician Taxonomy 208600000X · Licence 023209 (NY)

Record details

NPI number1538623053
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , PA-C
Sole proprietorYes
NPI enumeratedJanuary 29, 2019
Last updated in NPPESApril 18, 2022
Certification dateApril 18, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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