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

Kelly Marie North, PA-C

Individual provider Medical Physician Assistant · NPI 1821177130

Kelly Marie North, PA-C is a Physician Assistant in Camillus, New York. Qualified in 1987, 39 years ago. Practices with Community Memorial Hospital, a 42-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
39
Licensed in
PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

260 Township Blvd Ste 20
Camillus, NY 13031-1678
Phone: (315) 708-0091
Fax: (315) 708-0194
Show map & directions

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

Additional practice locations (1)

  • 4820 W Taft Rd, Liverpool, NY 13088-2800 — (315) 413-0004

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence OA002604 (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA001686L (PA)

Record details

NPI number1821177130
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 6, 2006
Last updated in NPPESAugust 29, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Community Memorial Hospital — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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