DR. LEE ANN KELLEY M.D.
NPI 1003868647
Psychiatry & Neurology - Psychiatry in Phoenix, AZ

Q: What is Lee Kelley's NPI number?

The NPI number for Lee Kelley is 1003868647. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Q: What is Lee Kelley's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: Is Lee Kelley enrolled in Medicare?

No. Lee Kelley has opted out of Medicare through November 22, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Lee Kelley was last updated on November 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 16, 2006Opted out of Medicare · through Nov 22, 2026

4602 N 16TH ST STE 100, PHOENIX, AZ 85016(602) 795-1834(602) 795-2608 Get Directions Write a Review

NPPES record last updated: November 21, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Lee Ann Kelley M.d. NPPES

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

DR. LEE ANN KELLEY M.D. (NPI 1003868647) is an individual psychiatry provider in Phoenix, Arizona, licensed in Arizona (25986) and active in the NPI registry since May 2006. She has opted out of Medicare through November 22, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1003868647

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameDR. LEE ANN KELLEYCredential: M.D.

Location Address4602 N 16TH ST STE 100Phoenix, AZ 85016-5160

Mailing Address4602 N 16th St Ste 100Phoenix, AZ 85016-5160 · (602) 795-1834 · Fax (602) 795-2608

Phone(602) 795-1834

Fax(602) 795-2608

Sole ProprietorYes

Enumeration DateMay 16, 2006

Last NPPES UpdateNovember 21, 2019

✔ NPI 1003868647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in AZ · 25986

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

4602 N 16TH ST STE 100, Phoenix, AZ 85016

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Lee Ann Kelley M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 22, 2022 through November 22, 2026.

Opt-Out Effective DateNovember 22, 2022

Opt-Out In Effect ThroughNovember 22, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 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

$168.60 typical visit price

range $55.44 – $168.60

Typical copayment $42.15 (range $13.86 – $42.15)

Most-billed visit code 99205

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Lee Kelley's NPI number?

The NPI number for Lee Kelley is 1003868647. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Lee Kelley located?

Lee Kelley practices at 4602 N 16th St Ste 100, Phoenix, AZ 85016. The listed phone number is (602) 795-1834.

What is Lee Kelley's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Lee Kelley enrolled in Medicare?

No. Lee Kelley has opted out of Medicare through November 22, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lee Kelley was last updated on November 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.