VAUGHN WILLIAM KELLY FNP
NPI 1013801877
Nurse Practitioner - Family in Palmer, AK
About Vaughn William Kelly Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VAUGHN WILLIAM KELLY FNP (NPI 1013801877) is an individual family provider in Palmer, Alaska, licensed in Alaska (238192) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Vaughn William Kelly Fnp 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 99645 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PALMER, AK 99645
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 Vaughn Kelly's NPI number?
The NPI number for Vaughn Kelly is 1013801877. It was assigned to this individual provider in the NPPES registry on June 5, 2025.
Where is Vaughn Kelly located?
Vaughn Kelly practices at 2500 S Woodworth Loop, Palmer, AK 99645. The listed phone number is (907) 861-6000.
What is Vaughn Kelly's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Vaughn Kelly enrolled in Medicare?
Yes. Vaughn 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 Vaughn Kelly accept?
Health plans from Moda Health Plan, Inc. and Providence Health Plan list Vaughn 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 Vaughn Kelly was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Vaughn William Kelly, FNP · NPI 1013801877
Family physician in Palmer, Alaska. Individual provider, active in the CMS NPPES registry since June 5, 2025.
## Identity
- **NPI:** 1013801877 (Entity type: Individual)
- **Enumerated:** June 5, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 238192 (Alaska)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2500 S WOODWORTH LOOP, Palmer, AK 99645-8984
- **Phone:** (907) 861-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** June 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1013801877) · Data from the CMS NPPES public registry.