KELLY NICOLE SLY FNP
NPI 1023498045
Nurse Practitioner - Family in Memphis, TN

Active since June 04, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3444 PLAZA AVE, MEMPHIS, TN 38111(901) 730-4204 Get Directions Write a Review

NPPES record last updated: April 7, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelly Nicole Sly Fnp NPPES

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

KELLY NICOLE SLY FNP (NPI 1023498045) is an individual family provider in Memphis, Tennessee, licensed in Arkansas (A004410) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1023498045
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY NICOLE SLYCredential: FNP
Location Address3444 PLAZA AVEMemphis, TN 38111-4614
Mailing Address2620 Elm Hill PikeNashville, TN 37214-3108 · (615) 425-4200
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 4, 2015
Last NPPES UpdateApril 7, 2016
✔ NPI 1023498045 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 AR · A004410
3444 PLAZA AVE, Memphis, TN 38111

Other Names 1

Former Name (1)Kelly Nicole Duckworth

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Nicole Sly 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.

PECOS PAC ID2163735721
PECOS Enrollment IDI20150725012601
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kelly Sly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
3206 POPLAR AVE
Memphis, TN 38111
  • Reassigned Medicare billing, Tennessee enrollment
  • 101 clinicians in this Medicare group
Family
510 HIGHWAY 76
White House, TN 37188
  • Reassigned Medicare billing, Tennessee enrollment
  • 341 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38111 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Pharmacy (Community/Retail Pharmacy)
3444 PLAZA AVE
MEMPHIS, TN 38111
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3444 PLAZA AVE
MEMPHIS, TN 38111
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3444 PLAZA AVE
MEMPHIS, TN 38111
Nurse Practitioner (Family)
3444 PLAZA AVE
MEMPHIS, TN 38111
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3444 PLAZA AVE
MEMPHIS, TN 38111
Pharmacist
3444 PLAZA AVE
MEMPHIS, TN 38111
Pharmacist
3444 PLAZA AVE
MEMPHIS, TN 38111
Physician Assistant (Medical)
3444 PLAZA AVE
MEMPHIS, TN 38111

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 Sly's NPI number?

The NPI number for Kelly Sly is 1023498045. It was assigned to this individual provider in the NPPES registry on June 4, 2015. The provider is also known as Kelly Nicole Duckworth.

Where is Kelly Sly located?

Kelly Sly practices at 3444 Plaza Ave, Memphis, TN 38111. The listed phone number is (901) 730-4204.

What is Kelly Sly's specialty?

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

Is Kelly Sly enrolled in Medicare?

Yes. Kelly Sly 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.

Which organizations bill Medicare for Kelly Sly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Sly reassigns Medicare benefits to 2 organizations: Christ Community Health Services, Inc. (Memphis, TN) and The Little Clinic Of Tennessee LLC (White House, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Sly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Sly accept?

Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Health Plan, Inc., Oscar Insurance Company and UnitedHealthcare list Kelly Sly 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 Sly was last updated on April 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.