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

Miranda Kelly

Individual provider Physician Assistant · NPI 1609553262

Miranda Kelly is a Physician Assistant in Newark, Delaware. Qualified in 2024, 2 years ago. Practices with Christiana Care Health Services Inc, a 1,481-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Delaware.

Years since qualifying
2
Licensed in
DE
In the registry since
2023
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Practice location Address checks out

4755 Ogletown Stanton Rd Ste 5A43
Newark, DE 19718-2200
Phone: (302) 623-0188
Fax: (302) 733-5640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 S 43rd St, Philadelphia, PA 19104-4418 — (215) 596-8800

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C5-0012155 (DE)

Record details

NPI number1609553262
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 5, 2023
Last updated in NPPESOctober 4, 2024
Certification dateOctober 4, 2024
Mailing address16 Chase Rd, Lumberton, NJ 08048-6200

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Christiana Care Health Services Inc — 1481 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Newark