MELISSA ILENE KELLY FNP
NPI 1235594177
Nurse Practitioner - Family in Idaho Falls, ID

Q: What is Melissa Kelly's NPI number?

The NPI number for Melissa Kelly is 1235594177. It was assigned to this individual provider in the NPPES registry on December 18, 2015.

Q: What is Melissa Kelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Melissa Kelly was last updated on December 18, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 18, 2015PECOS Enrolled

3614 WASHINGTON PKWY, IDAHO FALLS, ID 83404(208) 552-7700(208) 552-1786 Get Directions Write a Review

NPPES record last updated: December 18, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Melissa Ilene Kelly Fnp NPPES

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

MELISSA ILENE KELLY FNP (NPI 1235594177) is an individual family provider in Idaho Falls, Idaho, licensed in Idaho (NP-1668A) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235594177

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMELISSA ILENE KELLYCredential: FNP

Location Address3614 WASHINGTON PKWYIdaho Falls, ID 83404-7573

Mailing Address3614 Washington PkwyIdaho Falls, ID 83404-7573 · (208) 552-7700 · Fax (208) 552-1786

Phone(208) 552-7700

Fax(208) 552-1786

Sole ProprietorNo

Enumeration DateDecember 18, 2015

✔ NPI 1235594177 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 ID · NP-1668A

3614 WASHINGTON PKWY, Idaho Falls, ID 83404

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Ilene Kelly Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

28 services25 patients

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.

14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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.

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Other Providers at the Same Location NPPES 13

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

NOAH BERNAL

Physician Assistant (Medical)