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KELLY KELLY N.P.
NPI 1003228446
Nurse Practitioner - Family in Evansville, IN

Active since May 20, 2014PECOS EnrolledAccepts Medicare Assignment
78.83/100
CMS Quality Rating
4100 COVERT AVE, EVANSVILLE, IN 47714(812) 476-9983(812) 437-6149 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Jan 9, 2018, Dec 11, 2017 (3 updates tracked since 2017).

About Kelly Kelly N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY KELLY N.P. (NPI 1003228446) is an individual family provider in Evansville, Indiana, licensed in Indiana (71004900A) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Evansville, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1003228446
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY KELLYCredential: N.P.
Location Address4100 COVERT AVEEvansville, IN 47714-5559
Mailing Address4100 Covert AveEvansville, IN 47714-5559 · (812) 476-9983 · Fax (812) 437-6149
Phone(812) 476-9983
Fax(812) 437-6149
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 20, 2014
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
✔ NPI 1003228446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71004900A
4100 COVERT AVE, Evansville, IN 47714
Open in Google Maps ↗

Secondary Practice Location 1

Location 14480 N 1st AveEvansville, IN 47710-3622 · Phone (812) 425-1525

Other Identifiers 1

Other28184683AIN · Indiana

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Kelly N.p. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385867787
PECOS Enrollment IDI20140603000350
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,337 services191 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
819 services178 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
152 services29 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
102 services16 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
91 services20 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
84 services84 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47714 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.02
Improvement Activities40
Cost34.75

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EVAN HAMPTON PHARMD
Pharmacist
4100 COVERT AVE
EVANSVILLE, IN 47714
Vanderburgh County (812) 437-6142
MERANDA DAWN MAKUN PTA
Physical Therapy Assistant
4100 COVERT AVE
EVANSVILLE, IN 47714
Vanderburgh County (812) 437-6121
GREGORY G ENNIS M.D.
Physical Medicine & Rehabilitation
4100 COVERT AVE
EVANSVILLE, IN 47714
Vanderburgh County (812) 476-9983

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Kelly's NPI number?

The NPI number for Kelly Kelly is 1003228446. It was assigned to this individual provider in the NPPES registry on May 20, 2014.

Where is Kelly Kelly located?

Kelly Kelly practices at 4100 Covert Ave, Evansville, IN 47714. The listed phone number is (812) 476-9983.

What is Kelly Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Kelly enrolled in Medicare?

Yes. Kelly Kelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelly Kelly accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Kelly Kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Kelly was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.