1. Home
  2. Directory
  3. Arizona
  4. Phoenix
  5. Nurse Practitioner
  6. NPI Profile

DR. LUANNE TAKACS KELLY NP
NPI 1073849360
Nurse Practitioner - Adult Health in Phoenix, AZ

Active since October 22, 2009PECOS EnrolledAccepts Medicare Assignment
2400 W DUNLAP AVE STE 125, PHOENIX, AZ 85021(520) 340-8686(623) 738-0425 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 21, 2024, Jul 8, 2020, May 23, 2020 and 2 more (5 updates tracked since 2019).

About Dr. Luanne Takacs Kelly Np NPPES

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

DR. LUANNE TAKACS KELLY NP (NPI 1073849360) is an individual adult health provider in Phoenix, Arizona, licensed in Arizona (AP3594) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1073849360
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDR. LUANNE TAKACS KELLYCredential: NP
Location Address2400 W DUNLAP AVE STE 125Phoenix, AZ 85021-2885
Mailing Address2400 W Dunlap Ave Ste 125Phoenix, AZ 85021-2885 · (602) 698-7597 · Fax (623) 738-4025
Phone(520) 340-8686
Fax(623) 738-0425
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateOctober 22, 2009
Last NPPES UpdateAugust 18, 20255 updates tracked since enumeration
NPPES CertifiedAugust 18, 2025
✔ NPI 1073849360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in AZ · AP3594
2400 W DUNLAP AVE STE 125, Phoenix, AZ 85021
Open in Google Maps ↗

Other Identifiers 6

OtherUP80001BPA · Np License
Medicaid1073849360AZ
OtherZ25025AZ · Medicare
Other048119AZ · Ancc
OtherAP3594AZ · Arizona Board Of Nursing
Medicaid618876AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc., Oscar Health Plan, Inc..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

Dr. Luanne Takacs 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 ID6608906961
PECOS Enrollment IDI20110909002633
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 Reassignment

Medicare enrollment records show Luanne Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bowsers Garden LLC
Same address
Adult Health
2400 W DUNLAP AVE STE 125
Phoenix, AZ 85021
  • Reassigned Medicare billing, Arizona enrollment
NPI 1205476868 (480) 803-7016

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 85021 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Other Providers at the Same Location NPPES

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

BOWSERS GARDEN LLC
Nurse Practitioner (Adult Health)
2400 W DUNLAP AVE STE 125
PHOENIX, AZ 85021
Maricopa County (480) 803-7016

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 Luanne Kelly's NPI number?

The NPI number for Luanne Kelly is 1073849360. It was assigned to this individual provider in the NPPES registry on October 22, 2009.

Where is Luanne Kelly located?

Luanne Kelly practices at 2400 W Dunlap Ave Ste 125, Phoenix, AZ 85021. The listed phone number is (520) 340-8686.

What is Luanne Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Luanne Kelly enrolled in Medicare?

Yes. Luanne 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.

Which organization bills Medicare for Luanne Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luanne Kelly reassigns Medicare benefits to Bowsers Garden LLC (Phoenix, AZ). The 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 Luanne Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luanne Kelly accept?

Health plans from Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Luanne 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 Luanne Kelly was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.