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

Kelly S Mueller

Individual provider Physician Assistant · NPI 1558074013

Kelly S Mueller is a Physician Assistant in Nottingham, Maryland. Qualified in 2022, 4 years ago. Practices with St Vincent's Ambulatory Care Inc, a 302-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Maryland.

Years since qualifying
4
Licensed in
FL, MD
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

8100 Sandpiper Cir Ste 308
Nottingham, MD 21236-4992
Phone: (410) 918-0777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6699 Gate Pkwy Ste B, Jacksonville, FL 32256-8079 — (904) 450-8140

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9116874 (FL)
Physician Assistant Taxonomy 363A00000X · Licence C0009203 (MD)

Record details

NPI number1558074013
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 29, 2022
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025
Mailing address6699 Gate Pkwy Ste B, Jacksonville, FL 32256-8079

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice St Vincent'S Ambulatory Care Inc — 302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Nottingham