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

Tyla Nicole Kelley

Individual provider Physician Assistant · NPI 1679352207

Tyla Nicole Kelley is a Physician Assistant in York, Maine. Qualified in 2025, 1 year ago. Practices with York Hospital, a 206-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
1
Licensed in
ME
In the registry since
2023

Practice location Address checks out

3 Loving Kindness Way
York, ME 03909
Phone: (843) 819-2310
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2924 (ME)

Record details

NPI number1679352207
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 25, 2023
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice York Hospital — 206 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in York