BRIAN ISMAEL KELLY NP
NPI 1407649957
Nurse Practitioner in Stockton, CA
About Brian Ismael Kelly Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIAN ISMAEL KELLY NP (NPI 1407649957) is an individual nurse practitioner in Stockton, California, licensed in California (95184031) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2025).
NPPES Registry Identity
Specialties & Licenses 2
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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
Brian Ismael Kelly Np 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Brian Kelly's NPI number?
The NPI number for Brian Kelly is 1407649957. It was assigned to this individual provider in the NPPES registry on May 27, 2025.
Where is Brian Kelly located?
Brian Kelly practices at 525 W Acacia St, Stockton, CA 95203. The listed phone number is (209) 944-5550.
What is Brian Kelly's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Brian Kelly enrolled in Medicare?
Yes. Brian Kelly 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.
When was this NPI record last updated?
The NPPES record for Brian Kelly was last updated on July 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
