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

Kelly O'Donnell, PA-C

Individual provider Physician Assistant · NPI 1447500319

Kelly O'Donnell, PA-C is a Physician Assistant in Springfield, New Jersey. Qualified in 2012, 14 years ago. Practices with Practice Associates Medical Group, a 1,403-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
14
Licensed in
NJ
In the registry since
2012
Specialties on file
2
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

385 Morris Ave Fl 2
Springfield, NJ 07081-1151
Phone: (973) 329-2111
Fax: (973) 379-2807
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 333 Mount Hope Ave Ste 230, Rockaway, NJ 07866-1656 — (973) 379-2111
  • 741 Northfield Ave Ste 203, West Orange, NJ 07052-1104 — (973) 379-2111

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00288700 (NJ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 25MP00288700 (NJ)

Record details

NPI number1447500319
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 18, 2012
Last updated in NPPESMay 23, 2023
Certification dateMay 23, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Practice Associates Medical Group — 1403 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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