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

MS. Maureen C Kelly, PA

Individual provider Medical Physician Assistant · NPI 1881664902

MS. Maureen C Kelly, PA is a Physician Assistant in Lockport, New York. Qualified in 2003, 23 years ago. Practices with Yale University, a 2,618-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut and New York.

Years since qualifying
23
Licensed in
CT, NY
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6001 Shimer Dr
Lockport, NY 14094-6412
Phone: (716) 342-3026
Fax: (716) 342-3027
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 010552 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 001363 (CT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 1363 (CT)

Record details

NPI number1881664902
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 23, 2006
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Yale University — 2618 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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