MS. CYNTHIA ELAINE KELLEY APN-BC
NPI 1255525630
Nurse Practitioner - Family in Lewisburg, TN

Active since August 29, 2007PECOS EnrolledAccepts Medicare Assignment
304 W CHURCH ST, LEWISBURG, TN 37091(931) 359-3551(931) 359-3578 Get Directions Write a Review

NPPES record last updated: November 25, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Cynthia Elaine Kelley Apn-bc NPPES

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

MS. CYNTHIA ELAINE KELLEY APN-BC (NPI 1255525630) is an individual family provider in Lewisburg, Tennessee, licensed in Tennessee (12674) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Maury Regional Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1255525630
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. CYNTHIA ELAINE KELLEYCredential: APN-BC
Location Address304 W CHURCH STLewisburg, TN 37091-2730
Mailing Address304 W Church StLewisburg, TN 37091-2730 · (931) 224-1349 · Fax (931) 359-3578
Fax(931) 359-3578
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 29, 2007
Last NPPES UpdateNovember 25, 2011
NPI 1255525630 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 TN · 12674
304 W CHURCH ST, Lewisburg, TN 37091

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

Ms. Cynthia Elaine Kelley Apn-bc 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.

PECOS PAC ID3779670310
PECOS Enrollment IDI20071030000303
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 6

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 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.
401 services92 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
133 services76 patients
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.
50 services33 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
33 services28 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
33 services12 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
17 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Maury Regional Hospital

Acute Care Hospitals · Columbia, TN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440073
Location1224 Trotwood AveColumbia, TN 38401 · Maury County
Emergency services Birthing friendly

Marshall Medical Center

Critical Access Hospitals · Lewisburg, TN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number441309
Location1080 North Ellington ParkwayLewisburg, TN 37091 · Marshall County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37091 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers22 claims22 services$19.29 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$118.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pharmacy (Managed Care Organization Pharmacy)
304 W CHURCH ST
LEWISBURG, TN 37091
Nurse Practitioner (Family)
304 W CHURCH ST
LEWISBURG, TN 37091
Specialist
304 W CHURCH ST
LEWISBURG, TN 37091
Clinic/Center (Rural Health)
304 W CHURCH ST
LEWISBURG, TN 37091
Family Medicine
304 W CHURCH ST
LEWISBURG, TN 37091

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 Cynthia Kelley's NPI number?

The NPI number for Cynthia Kelley is 1255525630. It was assigned to this individual provider in the NPPES registry on August 29, 2007.

Where is Cynthia Kelley located?

Cynthia Kelley practices at 304 W Church St, Lewisburg, TN 37091. The listed phone number is (931) 359-3551.

What is Cynthia Kelley's specialty?

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

Is Cynthia Kelley enrolled in Medicare?

Yes. Cynthia 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 Cynthia Kelley accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Cynthia 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 Cynthia Kelley affiliated with any hospitals?

According to CMS data, Cynthia Kelley is affiliated with Maury Regional Hospital and Marshall Medical Center.

When was this NPI record last updated?

The NPPES record for Cynthia Kelley was last updated on November 25, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.