KATHRYN L KELLEY ACUTE CARE NURSE PRA
NPI 1205011053
Nurse Practitioner - Acute Care in Shenandoah, TX
About Kathryn L Kelley Acute Care Nurse Pra NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHRYN L KELLEY ACUTE CARE NURSE PRA (NPI 1205011053) is an individual acute care provider in Shenandoah, Texas, licensed in Texas (AP114087) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kathryn L Kelley Acute Care Nurse Pra 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kathryn Kelley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 2,407 clinicians in this Medicare group
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 1,579 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77385 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kathryn Kelley's NPI number?
The NPI number for Kathryn Kelley is 1205011053. It was assigned to this individual provider in the NPPES registry on December 28, 2007.
Where is Kathryn Kelley located?
Kathryn Kelley practices at 17201 I H 45 S, Shenandoah, TX 77385. The listed phone number is (936) 270-2099.
What is Kathryn Kelley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Kathryn Kelley enrolled in Medicare?
Yes. Kathryn 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.
Which organizations bill Medicare for Kathryn Kelley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Kelley reassigns Medicare benefits to 2 organizations: Tmh Physician Associates PLLC (Houston, TX) and Houston Methodist Specialty Physicians (Houston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathryn Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kathryn Kelley was last updated on March 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kathryn L Kelley, ACUTE CARE NURSE PRA · NPI 1205011053
Acute Care physician in Shenandoah, Texas. Individual provider, active in the CMS NPPES registry since December 28, 2007.
## Identity
- **NPI:** 1205011053 (Entity type: Individual)
- **Enumerated:** December 28, 2007
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** AP114087 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 17201 I H 45 S, Shenandoah, TX 77385-3311
- **Phone:** (936) 270-2099
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Tmh Physician Associates PLLC (NPI 1275779225, Houston, TX); Houston Methodist Specialty Physicians (NPI 1902614332, Houston, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** March 13, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1205011053) · Data from the CMS NPPES public registry.