DR. KELLY LYNN MCWILLIAMS MD
NPI 1245867704
Student in an Organized Health Care Education/Training Program in Denver, CO

Q: What is Kelly Mcwilliams's NPI number?

The NPI number for Kelly Mcwilliams is 1245867704. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Q: What is Kelly Mcwilliams's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Mcwilliams was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 25, 2020PECOS Enrolled

777 BANNOCK ST # MC0108, DENVER, CO 80204(303) 602-5176 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 17, 2023, Jun 22, 2023, Mar 26, 2020 (3 updates tracked since 2020).

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About Dr. Kelly Lynn Mcwilliams Md NPPES

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

DR. KELLY LYNN MCWILLIAMS MD (NPI 1245867704) is an individual student in an organized health care education/training program in Denver, Colorado and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1245867704

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. KELLY LYNN MCWILLIAMSCredential: MD

Location Address777 BANNOCK ST # MC0108Denver, CO 80204-4507

Mailing Address777 Bannock St # Mc0108Denver, CO 80204-4507 · (303) 602-5176

Phone(303) 602-5176

Sole ProprietorNo

Enumeration DateMarch 25, 2020

Last NPPES UpdateOctober 17, 20233 updates tracked since enumeration

NPPES CertifiedOctober 16, 2023

✔ NPI 1245867704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedEmergency MedicineTaxonomy 207P00000X · License DR.0070444 (CO)

777 BANNOCK ST # MC0108, Denver, CO 80204

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Secondary Practice Locations 2

Location 112505 E 16TH AVEAURORA, CO 80045-2545 · Phone (720) 848-0000

Location 210350 E Dakota AveDenver, CO 80247-1314 · Phone (303) 338-4545

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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)

Dr. Kelly Lynn Mcwilliams Md 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.

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.

COURTNEY WHAM

Student in an Organized Health Care Education/Training Program