KELLY ANN NELSON ARNP
NPI 1164081451
Nurse Practitioner - Adult Health in Seattle, WA

Q: What is Kelly Nelson's NPI number?

The NPI number for Kelly Nelson is 1164081451. It was assigned to this individual provider in the NPPES registry on June 10, 2019.

Q: What is Kelly Nelson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Nelson was last updated on July 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 10, 2019PECOS EnrolledAccepts Medicare Assignment

93.09/100

CMS Quality Rating

825 EASTLAKE AVE E, SEATTLE, WA 98109(206) 520-5000 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2019, Jun 10, 2019 (2 updates tracked since 2019).

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About Kelly Ann Nelson Arnp NPPES

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

KELLY ANN NELSON ARNP (NPI 1164081451) is an individual adult health provider in Seattle, Washington, licensed in Washington (AP60968138) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1164081451

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameKELLY ANN NELSONCredential: ARNP

Location Address825 EASTLAKE AVE ESeattle, WA 98109-4405

Mailing AddressPo Box 50095Seattle, WA 98145-5095 · (206) 520-5700

Phone(206) 520-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 10, 2019

Last NPPES UpdateJuly 18, 20192 updates tracked since enumeration

✔ NPI 1164081451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in WA · AP60968138

Also ListedNurse PractitionerTaxonomy 363L00000X · License AP60968138 (WA)

825 EASTLAKE AVE E, Seattle, WA 98109

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Other Identifiers 1

Medicaid1164081451WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Kelly Ann Nelson Arnp 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 ID446586028

PECOS Enrollment IDI20190722000455

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

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.

84 services72 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98109 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

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$111.00 typical visit price

range $21.12 – $155.00

Typical copayment $27.75 (range $5.28 – $38.75)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.09/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

73.95

Promoting Interoperability

100

Improvement Activities

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.

Capecitabine, oral, 500 mg J8521

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier18 claims1,008 services$0.80 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

1 supplier11 claims11 services$18.87 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.

SANDHYA RAMANATHAN PANCH M.D.

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