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MARY GAY KELLEY NURSE PRACTITIONER
NPI 1164416277
Nurse Practitioner - Gerontology in Surprise, AZ

Active since September 02, 2005
12425 W BELL RD, SUITE 200, SURPRISE, AZ 85378(623) 374-7774(623) 240-1110 Get Directions Write a Review

NPPES record last updated: July 11, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Gay Kelley Nurse Practitioner NPPES

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

MARY GAY KELLEY NURSE PRACTITIONER (NPI 1164416277) is an individual gerontology provider in Surprise, Arizona, licensed in Arizona (AP0029) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1164416277
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMARY GAY KELLEYCredential: NURSE PRACTITIONER
Location Address12425 W BELL RD, SUITE 200Surprise, AZ 85378-9006
Mailing Address12425 W Bell Rd, Suite 200Surprise, AZ 85378-9006 · (623) 374-7774 · Fax (623) 240-1110
Phone(623) 374-7774
Fax(623) 240-1110
Sole ProprietorNo
Enumeration DateSeptember 2, 2005
Last NPPES UpdateJuly 11, 2011
✔ NPI 1164416277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in AZ · AP0029
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP2547 (AZ)
12425 W BELL RD, Surprise, AZ 85378
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Other Identifiers 5

Medicare UPINZ121009AZ
Medicaid293709AZ
OtherP00457902AZ · Medicare Rr
Medicare UPINP40021AZ
Medicare PINZ144946AZ

Other Providers at the Same Location NPPES 5

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

JAMES A LEROY PH.D.
Psychologist (Clinical)
12425 W BELL RD, SUITE 200
SURPRISE, AZ 85378
Maricopa County (623) 374-7774
VASCULAR IMAGING SOLUTIONS LLC
Radiology (Diagnostic Ultrasound)
12425 W BELL RD, STE A-128
SURPRISE, AZ 85378
Maricopa County (602) 614-5253
MEDIRAD, LLC
Family Medicine
12425 W BELL RD, SUITE 200
SURPRISE, AZ 85378
Maricopa County (623) 374-7774
MRS. DEANNA CAROL TURNER-GARCIA FNP-BC
Nurse Practitioner
12425 W BELL RD, SUITE 200
SURPRISE, AZ 85378
Maricopa County (623) 374-7774
DISCHARGE MD, LLC
Family Medicine
12425 W BELL RD, SUITE 200
SURPRISE, AZ 85378
Maricopa County (623) 374-7774

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 Mary Kelley's NPI number?

The NPI number for Mary Kelley is 1164416277. It was assigned to this individual provider in the NPPES registry on September 2, 2005.

Where is Mary Kelley located?

Mary Kelley practices at 12425 W Bell Rd Suite 200, Surprise, AZ 85378. The listed phone number is (623) 374-7774.

What is Mary Kelley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Mary Kelley was last updated on July 11, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.