1. Home
  2. Directory
  3. Alaska
  4. Palmer
  5. Registered Nurse
  6. NPI Profile

MARISA MAE KELLY RN
NPI 1053903799
Registered Nurse - Registered Nurse First Assistant in Palmer, AK

Active since February 04, 2021
425 E DAHLIA AVE STE J, PALMER, AK 99645(907) 746-1520(907) 746-1521 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 23, 2021, Feb 4, 2021 (2 updates tracked since 2021).

About Marisa Mae Kelly Rn NPPES

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

MARISA MAE KELLY RN (NPI 1053903799) is an individual registered nurse first assistant in Palmer, Alaska, licensed in Alaska (168876) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1053903799
Entity TypeIndividualFemale
Primary Taxonomy163WR0006X
Provider Legal NameMARISA MAE KELLYCredential: RN
Location Address425 E DAHLIA AVE STE JPalmer, AK 99645-6463
Mailing Address425 E Dahlia Ave Ste JPalmer, AK 99645-6463 · (907) 746-1520 · Fax (907) 746-1521
Phone(907) 746-1520
Fax(907) 746-1521
Sole ProprietorNo
Enumeration DateFebruary 4, 2021
Last NPPES UpdateFebruary 23, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2021
✔ NPI 1053903799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Registered Nurse First AssistantNursing Service Providers
Taxonomy Code163WR0006X
License✔ Licensed in AK · 168876
Definition
A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon.
425 E DAHLIA AVE STE J, Palmer, AK 99645
Open in Google Maps ↗

Other Providers at the Same Location NPPES 6

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

DR. SHANNON GULLEY M.D.
Surgery
425 E DAHLIA AVE STE J
PALMER, AK 99645
Matanuska-Susitna Borough (907) 746-1520
JESSICA ANNE ZINTER
Specialist/Technologist, Other (Surgical Assistant)
425 E DAHLIA AVE STE J
PALMER, AK 99645
Matanuska-Susitna Borough (907) 746-1520
GLACIER SURGICAL ASSOCIATES, INC
Surgery
425 E DAHLIA AVE STE J
PALMER, AK 99645
Matanuska-Susitna Borough (907) 746-1520
DR. KAITLIN PEACE MD
Surgery
425 E DAHLIA AVE STE J
PALMER, AK 99645
Matanuska-Susitna Borough (907) 746-1520
KRISTEN ALCORN NP
Nurse Practitioner (Family)
425 E DAHLIA AVE STE J
PALMER, AK 99645
Matanuska-Susitna Borough (907) 746-1521
MS. CHRISTI M. ANGELO APRN-F/AC
Nurse Practitioner (Family)
425 E DAHLIA AVE STE J
PALMER, AK 99645
Matanuska-Susitna Borough (907) 746-1520

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 Marisa Kelly's NPI number?

The NPI number for Marisa Kelly is 1053903799. It was assigned to this individual provider in the NPPES registry on February 4, 2021.

Where is Marisa Kelly located?

Marisa Kelly practices at 425 E Dahlia Ave Ste J, Palmer, AK 99645. The listed phone number is (907) 746-1520.

What is Marisa Kelly's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Registered Nurse First Assistant, with taxonomy code 163WR0006X.

When was this NPI record last updated?

The NPPES record for Marisa Kelly was last updated on February 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.