SHELLEY KELLY PSYCHIATRIC SERVICES LLC
NPI 1295693828
Nurse Practitioner - Psychiatric/Mental Health in University Place, WA

Q: What is Shelley Kelly Psychiatric Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since January 13, 2026

4113 BRIDGEPORT WAY W STE C2, UNIVERSITY PLACE, WA 98466(253) 234-4566(253) 276-6700 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 31, 2026, May 22, 2026, May 15, 2026 and 1 more (4 updates tracked since 2026).

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About Shelley Kelly Psychiatric Services Llc NPPES

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

SHELLEY KELLY PSYCHIATRIC SERVICES LLC (NPI 1295693828) is a healthcare organization registered as a psychiatric/mental health in University Place, Washington and active in the NPI registry since January 2026. The organization lists Shelley Jette-kelly, Owner, as its authorized official.

NPPES Registry Identity

NPI1295693828

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameSHELLEY KELLY PSYCHIATRIC SERVICES LLC

Location Address4113 BRIDGEPORT WAY W STE C2University Place, WA 98466-4325

Mailing Address4113 Bridgeport Way W Ste C2University Place, WA 98466-4325 · (253) 234-4566 · Fax (253) 276-6700

Phone(253) 234-4566

Fax(253) 276-6700

Organization SubpartNo

Authorized OfficialShelley Jette-kellyOwner · (253) 234-4566

Enumeration DateJanuary 13, 2026

Last NPPES UpdateJuly 31, 20264 updates tracked since enumeration

NPPES CertifiedJuly 31, 2026

✔ NPI 1295693828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

4113 BRIDGEPORT WAY W STE C2, University Place, WA 98466

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelley Kelly Psychiatric Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shelley Kelly Psychiatric Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shelley Jette-Kelly, PMHNP

Nurse Practitioner

NPI 1255012654

4113 BRIDGEPORT WAY W STE C2
University Place, WA 98466

(253) 234-4566

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Shelley Kelly Psychiatric Services LLC's NPI number?

The NPI number for Shelley Kelly Psychiatric Services LLC is 1295693828. It was assigned to this organization in the NPPES registry on January 13, 2026.

Where is Shelley Kelly Psychiatric Services LLC located?

Shelley Kelly Psychiatric Services LLC is located at 4113 Bridgeport Way W Ste C2, University Place, WA 98466. The listed phone number is (253) 234-4566.

What is Shelley Kelly Psychiatric Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shelley Kelly Psychiatric Services LLC enrolled in Medicare?

Yes. Shelley Kelly Psychiatric Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shelley Kelly Psychiatric Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Shelley Kelly Psychiatric Services LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Shelley Kelly Psychiatric Services LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Shelley Kelly Psychiatric Services LLC 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.

When was this NPI record last updated?

The NPPES record for Shelley Kelly Psychiatric Services LLC was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.