Active NPIIndividual provider

Mary A Hettich-Kelly, APRN CNS PSYCH

Clinical Nurse Specialist, Psych/Mental Health, Community in Hyannis, Massachusetts

NPI Number1790810257
Practice location
259 North St # A, Hyannis, MA 02601-3834
Fax
508-862-0514
Last updated
October 7, 2025

Mary Ann Hettich-Kelly is a Clinical Nurse Specialist, Psych/Mental Health, Community based in Hyannis, MA. Mary Ann Hettich-Kelly practices in Hyannis, MA and has the professional credentials of APRN CNS PSYCH. The NPI Number for Mary Ann Hettich-Kelly is 1790810257 and holds a License No. 197116 (MA). The current practice location address for Mary Ann Hettich-Kelly is 259 North St # A, Hyannis, MA 02601-3834 and can be reached out via phone at 508-862-0514 and via fax at 508-862-0514.

Provider Profile Details

NPI Number
1790810257
Provider Name
Mary Ann Hettich-Kelly
Credential
APRN CNS PSYCH
Provider Entity Type
Individual
Gender
Female
Address
259 North St # A, Hyannis, MA 02601-3834
Phone Number
508-862-0514
Fax Number
508-862-0514
Sole Proprietor
No
Other Names
Mary Ann Hettich, APRN (Former Name)
Provider Enumeration Date
February 23, 2007
Last Update Date
October 7, 2025
Certification Date
October 7, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
259 North St # A
Hyannis, MA 02601-3834
Zip
02601-3834
Phone Number
508-862-0514
Fax Number
508-862-0514
Hyannis, MA 02601Get directions →

Provider Business Mailing Address Details

Address
259 North St # A
Hyannis, MA 02601-3834
City
Hyannis
State
MA
Zip
02601-3834
Phone Number
508-862-0514
Fax Number
508-862-9184

License Information

License Number (1)
197116
License State (1)
MA
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
197116
License State (2)
MA

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mary A Hettich-Kelly, APRN CNS PSYCH?

The NPI number of Mary A Hettich-Kelly, APRN CNS PSYCH is 1790810257. It was assigned on February 23, 2007 and is currently active in the NPPES registry.

What is the specialty of Mary A Hettich-Kelly, APRN CNS PSYCH?

Mary A Hettich-Kelly, APRN CNS PSYCH is registered under the primary taxonomy Clinical Nurse Specialist, Psych/Mental Health, Community (code 364SP0812X), licensed in MA under license number 197116.

Where does Mary A Hettich-Kelly, APRN CNS PSYCH practice?

The practice location is 259 North St # A, Hyannis, MA 02601-3834. The office can be reached at 508-862-0514 (phone) or 508-862-0514 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790810257 directly on the NPPES registry website.

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