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

Kelly Marie Ottis, PA-C

Individual provider Physician Assistant · NPI 1194159137

Kelly Marie Ottis, PA-C is a Physician Assistant in Dover, Delaware. Graduated from At Still Un of Hlth Sciences, Col of Osteo Med, Mesa in 2013, 13 years ago. Practices with Bayhealth Medical Center, Inc, a 401-clinician group and accepts Medicare assignment. Licensed in Delaware.

Years since qualifying
13
Trained at
At Still Un of Hlth Sciences, Col of Osteo Med, Mesa
Licensed in
DE
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

640 S State St
Dover, DE 19901-3530
Phone: (302) 674-4700
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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 C5-0001410 (DE)

Record details

NPI number1194159137
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 27, 2013
Last updated in NPPESMay 9, 2024
Certification dateMay 1, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolAT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated 2013 (13 years in practice)
Group practice Bayhealth Medical Center, Inc — 401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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