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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AMMIE WALL KELLEY APRN-CNP
NPI 1164085502
Nurse Practitioner - Family in Tulsa, OK

Active since April 22, 2019PECOS Enrolled
97.58/100
CMS Quality Rating
1245 S UTICA AVE, TULSA, OK 74104(918) 579-3850(918) 579-3859 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 23, 2026, Mar 19, 2026, Dec 30, 2024 and 1 more (4 updates tracked since 2019).

About Ammie Wall Kelley Aprn-cnp NPPES

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

AMMIE WALL KELLEY APRN-CNP (NPI 1164085502) is an individual family provider in Tulsa, Oklahoma, licensed in Oklahoma (R0102373) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Hillcrest Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1164085502
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMMIE WALL KELLEYCredential: APRN-CNP
Location Address1245 S UTICA AVETulsa, OK 74104-4214
Mailing Address1245 S Utica AveTulsa, OK 74104-4214 · (918) 579-3850 · Fax (918) 579-3859
Phone(918) 579-3850
Fax(918) 579-3859
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 22, 2019
Last NPPES UpdateSeptember 23, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2026
✔ NPI 1164085502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OK · R0102373
1245 S UTICA AVE, Tulsa, OK 74104
Open in Google Maps ↗

Secondary Practice Locations 3

Location 16565 S Yale Ave Ste 803Tulsa, OK 74136-8309 · Phone (918) 494-9288 · Fax (918) 494-9289
Location 26565 S Yale Ave Ste 812Tulsa, OK 74136-8309 · Phone (918) 494-9288 · Fax (918) 494-9289
Location 38921 S Mingo RdTulsa, OK 74133-5841 · Phone (918) 252-8890

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Mending Health, Oscar Insurance Company.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

Ammie Wall Kelley Aprn-cnp 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 ID547593626
PECOS Enrollment IDI20190604002140
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hillcrest Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipProprietary
CMS Certification Number370001
Location1120 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Saint Francis Hospital South, LLC

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370218
Location10501 East 91st Street SouthTulsa, OK 74133 · Tulsa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74104 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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. JACLYN CINDA JONES D.O.
Orthopaedic Surgery
1245 S UTICA AVE
TULSA, OK 74104
Tulsa County (918) 579-2590
ABIGAIL J DAVISON PA-C
Physician Assistant
1245 S UTICA AVE
TULSA, OK 74104
Tulsa County (918) 579-3850
HELEN HOGGARD APRN-CNP
Nurse Practitioner (Family)
1245 S UTICA AVE, 2ND FLOOR EAST
TULSA, OK 74104
Tulsa County (918) 382-2567
DR. BRADLEY DEAN HOYT MD
Internal Medicine
1245 S UTICA AVE
TULSA, OK 74104
Tulsa County (918) 382-2536
DR. STEVEN LANDGARTEN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1245 S UTICA AVE
TULSA, OK 74104
Tulsa County (918) 382-2551
MS. AMY CLARK NP-C
Nurse Practitioner (Family)
1245 S UTICA AVE, 3RD FLOOR WEST
TULSA, OK 74104
Tulsa County (918) 560-3823
CHELSEA NICOLE THOMAS DO
Internal Medicine (Hematology & Oncology)
1245 S UTICA AVE
TULSA, OK 74104
Tulsa County (918) 579-3850
DR. THOMAS EDWARD MADAJ MD
Internal Medicine
1245 S UTICA AVE, 3RD FLOOR EAST
TULSA, OK 74104
Tulsa County (918) 382-2510

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 Ammie Kelley's NPI number?

The NPI number for Ammie Kelley is 1164085502. It was assigned to this individual provider in the NPPES registry on April 22, 2019.

Where is Ammie Kelley located?

Ammie Kelley practices at 1245 S Utica Ave, Tulsa, OK 74104. The listed phone number is (918) 579-3850.

What is Ammie Kelley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ammie Kelley enrolled in Medicare?

Yes. Ammie 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 Ammie Kelley accept?

Health plans from Mending Health and Oscar Insurance Company list Ammie 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.

Is Ammie Kelley affiliated with any hospitals?

According to CMS data, Ammie Kelley is affiliated with Hillcrest Medical Center and Saint Francis Hospital South, LLC.

When was this NPI record last updated?

The NPPES record for Ammie Kelley was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.