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

Kelly R Emmert, PA-C

Individual provider Surgical Physician Assistant · NPI 1518342088

Kelly R Emmert, PA-C is a Physician Assistant in Roslyn Heights, New York. Qualified in 2015, 11 years ago. Practices with Mercy Medical Center, a 83-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015
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

125 Mineola Ave Ste 200
Roslyn Heights, NY 11577-2023
Phone: (516) 616-5500
Fax: (888) 502-6585
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 018867 (NY)

Record details

NPI number1518342088
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 27, 2015
Last updated in NPPESJuly 9, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Mercy Medical Center — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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