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DR. WILLIAM SAMUEL KELLY MD
NPI 1073626453
Psychiatry & Neurology - Psychiatry in Tacoma, WA

Active since August 17, 2006PECOS Enrolled
9600 VETERANS DR SW, TACOMA, WA 98493(253) 583-1698(253) 589-4167 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. William Samuel Kelly Md NPPES

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

DR. WILLIAM SAMUEL KELLY MD (NPI 1073626453) is an individual psychiatry provider in Tacoma, Washington, licensed in Washington (33548) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Renton.

NPPES Registry Identity

NPI1073626453
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. WILLIAM SAMUEL KELLYCredential: MD
Location Address9600 VETERANS DR SWTacoma, WA 98493-0003
Mailing Address9600 Veterans Dr SwTacoma, WA 98493-0003 · (253) 583-1698 · Fax (253) 589-4167
Phone(253) 583-1698
Fax(253) 589-4167
Sole ProprietorNo
Enumeration DateAugust 17, 2006
Last NPPES UpdateMarch 10, 2020
NPPES CertifiedMarch 10, 2020
✔ NPI 1073626453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in WA · 33548
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
9600 VETERANS DR SW, Tacoma, WA 98493
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Secondary Practice Location 1

Location 14445 Talbot Rd SRenton, WA 98055-6219 · Phone (425) 690-3414 · Fax (425) 690-9414

Other Identifiers 2

Medicaid2009646WA
OtherG8891457WA · Medicare W Valley Medical Group - Renton

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. William Samuel Kelly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98493 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
$172.80 typical visit price
range $57.27 – $172.80
Typical copayment $43.20 (range $14.31 – $43.20)
Most-billed visit code 99205
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. HILLEL SAMLAN PHD
Psychologist (Counseling)
9600 VETERANS DR SW
TACOMA, WA 98493
Pierce County (253) 583-3591
DEREK RYAN ANDERSON PH.D.
Psychologist (Clinical)
9600 VETERANS DR SW, REHABILITATION CARE SERVICE (A-117-RCS)
TACOMA, WA 98493
Pierce County (253) 583-1896
MORGAN BURDICK MSW, MSN, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
9600 VETERANS DR SW
TACOMA, WA 98493
Pierce County (253) 582-8440
MISS LINDSAY ANNE JOHNSON MA CLVT, CVRT
Specialist/Technologist (Rehabilitation, Blind)
9600 VETERANS DR SW
TACOMA, WA 98493
Pierce County (253) 582-8440
MRS. LUZ MARIA CHAVEZ-AVILA MSW
Social Worker
9600 VETERANS DR SW
TACOMA, WA 98493
Pierce County (253) 583-3958
MS. BARBARA ANN COTE MSW
Social Worker
9600 VETERANS DR SW
TACOMA, WA 98493
Pierce County (253) 583-1134
MS. GRACE R HOMANY MS
Psychologist
9600 VETERANS DR SW
TACOMA, WA 98493
Pierce County (253) 583-1759
ERIN ROSE HORNER MSW
Social Worker
9600 VETERANS DR SW
TACOMA, WA 98493
Pierce County (253) 583-1714

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 William Kelly's NPI number?

The NPI number for William Kelly is 1073626453. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is William Kelly located?

William Kelly practices at 9600 Veterans Dr SW, Tacoma, WA 98493. The listed phone number is (253) 583-1698.

What is William Kelly's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is William Kelly enrolled in Medicare?

Yes. William Kelly is registered in the Medicare PECOS enrollment system.

What insurance does William Kelly accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list William 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 William Kelly was last updated on March 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.