MRS. MARILYN RHOADS KELLY NP
NPI 1023092533
Nurse Practitioner in Booneville, MS

Active since November 30, 2005PECOS EnrolledAccepts Medicare Assignment
88.5/100
CMS Quality Rating
202 N 1ST ST, BOONEVILLE, MS 38829(662) 340-1138(662) 728-5185 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Marilyn Rhoads Kelly Np NPPES

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

MRS. MARILYN RHOADS KELLY NP (NPI 1023092533) is an individual nurse practitioner in Booneville, Mississippi, licensed in Mississippi (574996) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital Booneville, and is a graduate of University Of Mississippi School Of Medicine (1995).

NPPES Registry Identity

NPI1023092533
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. MARILYN RHOADS KELLYCredential: NP
Location Address202 N 1ST STBooneville, MS 38829-2718
Mailing Address350 N Humphreys BlvdMemphis, TN 38120-2177 · (901) 226-4003 · Fax (901) 227-8591
Fax(662) 728-5185
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1995
Enumeration DateNovember 30, 2005
Last NPPES UpdateOctober 3, 2025
NPPES CertifiedOctober 3, 2025
NPI 1023092533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MS · 574996
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
202 N 1ST ST, Booneville, MS 38829

Other Identifiers 1

Medicaid08138363MS

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

Mrs. Marilyn Rhoads Kelly Np 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 ID1557348000
PECOS Enrollment IDI20040701001327
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 15

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
167 services88 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
140 services24 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
116 services21 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
93 services40 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
74 services55 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
72 services48 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Memorial Hospital Booneville

Acute Care Hospitals · Booneville, MS
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number250044
Location100 Hospital StreetBooneville, MS 38829 · Prentiss County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38829 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

88.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.45
Promoting Interoperability75
Improvement Activities40
Cost78.73

Other Providers at the Same Location NPPES 9

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

Internal Medicine
202 N 1ST ST
BOONEVILLE, MS 38829
Internal Medicine
202 N 1ST ST
BOONEVILLE, MS 38829
Clinic/Center
202 N 1ST ST
BOONEVILLE, MS 38829
Internal Medicine (Sleep Medicine)
202 N 1ST ST
BOONEVILLE, MS 38829
Internal Medicine
202 N 1ST ST, SUITE A
BOONEVILLE, MS 38829
Nurse Practitioner (Family)
202 N 1ST ST, STE A
BOONEVILLE, MS 38829
Nurse Practitioner (Family)
202 N 1ST ST, SUITE A
BOONEVILLE, MS 38829
Clinic/Center (Infusion Therapy)
202 N 1ST ST, SUITE B
BOONEVILLE, MS 38829

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 Marilyn Kelly's NPI number?

The NPI number for Marilyn Kelly is 1023092533. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Where is Marilyn Kelly located?

Marilyn Kelly practices at 202 N 1st St, Booneville, MS 38829. The listed phone number is (662) 340-1138.

What is Marilyn Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Marilyn Kelly enrolled in Medicare?

Yes. Marilyn 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 Marilyn Kelly accept?

Health plans from Blue Cross and Blue Shield of Alabama and Molina Healthcare list Marilyn 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.

Is Marilyn Kelly affiliated with any hospitals?

According to CMS data, Marilyn Kelly is affiliated with Baptist Memorial Hospital Booneville.

When was this NPI record last updated?

The NPPES record for Marilyn Kelly was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.