AMMIE WALL KELLEY
NPI 1164085502
Nurse Practitioner - Family in Tulsa, OK
About Ammie Wall Kelley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMMIE WALL KELLEY (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 is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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
Ammie Wall Kelley 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hillcrest Medical Center
Acute Care Hospitals · Tulsa, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74133 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 8921 S Mingo Rd, Tulsa, OK 74133. The listed phone number is (918) 252-8890.
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.
When was this NPI record last updated?
The NPPES record for Ammie Kelley was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Ammie Wall Kelley · NPI 1164085502
Family physician in Tulsa, Oklahoma. Individual provider, active in the CMS NPPES registry since April 22, 2019.
## Identity
- **NPI:** 1164085502 (Entity type: Individual)
- **Enumerated:** April 22, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R0102373 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 8921 S MINGO RD, Tulsa, OK 74133-5841
- **Phone:** (918) 252-8890
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** March 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1164085502) · Data from the CMS NPPES public registry.