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

Kelly Mae Salmons

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265130355

Kelly Mae Salmons is a Physician Assistant in Syracuse, New York. Qualified in 2024, 2 years ago. Practices with Crouse Health Hospital Inc, a 153-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

411 Pleasant Ave
Syracuse, NY 13212-3700
Phone: (315) 560-5491
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 032779 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1265130355
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 20, 2023
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Crouse Health Hospital Inc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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