RACHEL KELLEY MD
NPI 1104455328
Family Medicine in Albuquerque, NM

Active since April 08, 2020PECOS EnrolledAccepts Medicare Assignment
1 SAGEBRUSH ST SW, ALBUQUERQUE, NM 87105(505) 869-3200(505) 869-4088 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 14, 2025, Oct 3, 2023, Apr 8, 2020 (3 updates tracked since 2020).

About Rachel Kelley Md NPPES

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

RACHEL KELLEY MD (NPI 1104455328) is an individual family medicine provider in Albuquerque, New Mexico, licensed in New Mexico (MD2023-1365) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (2020).

NPPES Registry Identity

NPI1104455328
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameRACHEL KELLEYCredential: MD
Location Address1 SAGEBRUSH ST SWAlbuquerque, NM 87105-3942
Mailing Address1 Sagebrush St SwAlbuquerque, NM 87105-3942 · (505) 869-3200
Fax(505) 869-4088
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2020
Enumeration DateApril 8, 2020
Last NPPES UpdateAugust 14, 20253 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
NPI 1104455328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NM · MD2023-1365
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1 SAGEBRUSH ST SW, Albuquerque, NM 87105

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Rachel Kelley Md 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 ID2062838048
PECOS Enrollment IDI20240209002020
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
75 services51 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
19 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87105 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$47.86 avg. paid by Medicare
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar E0910
DME-Other DME · category DE000N
1 supplier11 claims11 services$7.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Dentist (General Practice)
1 SAGEBRUSH ST SW
ALBUQUERQUE, NM 87105
Community Health Worker
1 SAGEBRUSH ST SW
ALBUQUERQUE, NM 87105
Family Medicine
1 SAGEBRUSH ST SW
ALBUQUERQUE, NM 87105
Community Health Worker
1 SAGEBRUSH ST SW
ALBUQUERQUE, NM 87105
Registered Nurse
1 SAGEBRUSH ST SW
ALBUQUERQUE, NM 87105
Pharmacist
1 SAGEBRUSH ST SW
ALBUQUERQUE, NM 87105
Counselor (Mental Health)
1 SAGEBRUSH ST SW
ALBUQUERQUE, NM 87105
Dental Hygienist
1 SAGEBRUSH ST SW
ALBUQUERQUE, NM 87105

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 Rachel Kelley's NPI number?

The NPI number for Rachel Kelley is 1104455328. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Where is Rachel Kelley located?

Rachel Kelley practices at 1 Sagebrush St SW, Albuquerque, NM 87105. The listed phone number is (505) 869-3200.

What is Rachel Kelley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rachel Kelley enrolled in Medicare?

Yes. Rachel Kelley 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.

What insurance does Rachel Kelley accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Rachel Kelley 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 Rachel Kelley was last updated on August 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.