KELLY LA RN
NPI 1306503016
Nurse Practitioner - Family in Freeport, TX

Q: What is Kelly La's NPI number?

The NPI number for Kelly La is 1306503016. It was assigned to this individual provider in the NPPES registry on November 17, 2021.

Q: What is Kelly La'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 Kelly La was last updated on June 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 17, 2021PECOS Enrolled

905 N GULF BLVD, FREEPORT, TX 77541(281) 824-1480(281) 220-6407 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 10, 2025, Jun 9, 2023, Dec 5, 2022 and 2 more (5 updates tracked since 2021).

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About Kelly La Rn NPPES

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

KELLY LA RN (NPI 1306503016) is an individual family provider in Freeport, Texas, licensed in Texas (1074021) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Rosharon.

NPPES Registry Identity

NPI1306503016

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLY LACredential: RN

Location Address905 N GULF BLVDFreeport, TX 77541-3907

Mailing Address2003 Kirby Springs CtPearland, TX 77584-8203 · (832) 343-0405

Phone(281) 824-1480

Fax(281) 220-6407

Sole ProprietorNo

Enumeration DateNovember 17, 2021

Last NPPES UpdateJune 10, 20255 updates tracked since enumeration

NPPES CertifiedJune 10, 2025

✔ NPI 1306503016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · 1074021

Also ListedRegistered Nurse · RehabilitationTaxonomy 163WR0400X · License 850233 (TX)

905 N GULF BLVD, Freeport, TX 77541

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Secondary Practice Location 1

Location 113202 Chestnut Field CtRosharon, TX 77583-0378 · Phone (832) 343-0405

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Oscar Insurance Company 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)

Kelly La Rn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77541 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

$88.15 typical visit price

range $57.16 – $172.89

Typical copayment $22.03 (range $14.29 – $43.22)

Most-billed visit code 99203

Established Patient

$100.84 typical visit price

range $18.45 – $141.27

Typical copayment $25.21 (range $4.61 – $35.31)

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 20

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

NUSRAT AHMED MD

Family Medicine