Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MARYPAT KELLY GNP
NPI 1043289523
Nurse Practitioner - Gerontology in San Jose, CA

Active since March 16, 2006
80 GREAT OAKS BLVD, SAN JOSE, CA 95119(408) 363-3000(408) 363-3082 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marypat Kelly Gnp NPPES

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

MARYPAT KELLY GNP (NPI 1043289523) is an individual gerontology provider in San Jose, California, licensed in California (15112) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1043289523
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMARYPAT KELLYCredential: GNP
Location Address80 GREAT OAKS BLVDSan Jose, CA 95119-1310
Mailing Address1150 Pine StMenlo Park, CA 94025-3455 · (650) 473-0529
Fax(408) 363-3082
Sole ProprietorNo
Enumeration DateMarch 16, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1043289523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in CA · 15112
80 GREAT OAKS BLVD, San Jose, CA 95119

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.

Clinic/Center (VA)
80 GREAT OAKS BLVD
SAN JOSE, CA 95119
Social Worker (Clinical)
80 GREAT OAKS BLVD
SAN JOSE, CA 95119
Social Worker
80 GREAT OAKS BLVD
SAN JOSE, CA 95119
Internal Medicine
80 GREAT OAKS BLVD
SAN JOSE, CA 95119
Social Worker (Clinical)
80 GREAT OAKS BLVD
SAN JOSE, CA 95119
Social Worker (Clinical)
80 GREAT OAKS BLVD
SAN JOSE, CA 95119
Psychiatry & Neurology (Psychiatry)
80 GREAT OAKS BLVD
SAN JOSE, CA 95119
Registered Nurse (Psychiatric/Mental Health, Adult)
80 GREAT OAKS BLVD
SAN JOSE, CA 95119

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 Marypat Kelly's NPI number?

The NPI number for Marypat Kelly is 1043289523. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Marypat Kelly located?

Marypat Kelly practices at 80 Great Oaks Blvd, San Jose, CA 95119. The listed phone number is (408) 363-3000.

What is Marypat Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Marypat Kelly was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.