KELLY A MUNDY FNP, RNFA
NPI 1427228816
Nurse Practitioner in Memphis, TN

Q: What is Kelly Mundy's NPI number?

The NPI number for Kelly Mundy is 1427228816. It was assigned to this individual provider in the NPPES registry on March 3, 2008. The provider is also known as Kelly Ann Zimmerman Fnp, Rnfa.

Q: What is Kelly Mundy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Mundy was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 03, 2008PECOS EnrolledAccepts Medicare Assignment

6286 BRIARCREST AVE STE 200, MEMPHIS, TN 38120(901) 641-3000(901) 259-1698 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 28, 2021, Mar 17, 2021, Jun 20, 2019 and 1 more (4 updates tracked since 2017).

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About Kelly A Mundy Fnp, Rnfa NPPES

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

KELLY A MUNDY FNP, RNFA (NPI 1427228816) is an individual nurse practitioner in Memphis, Tennessee, licensed in Tennessee (17474) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1427228816

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKELLY A MUNDYCredential: FNP, RNFA

Location Address6286 BRIARCREST AVE STE 200Memphis, TN 38120-4023

Mailing Address6077 Primacy Pkwy Ste 140Memphis, TN 38119-5742 · (901) 725-8347 · Fax (901) 259-7637

Phone(901) 641-3000

Fax(901) 259-1698

Sole ProprietorNo

Medical School CMSOhio Medical UniversityGraduated 2007

Enumeration DateMarch 3, 2008

Last NPPES UpdateApril 28, 20214 updates tracked since enumeration

NPPES CertifiedApril 28, 2021

✔ NPI 1427228816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in TN · 17474✔ Licensed in MS · 901950✔ Licensed in AR · AOO5005

Definition

(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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 192906 (TN)

6286 BRIARCREST AVE STE 200, Memphis, TN 38120

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Other Names 1

Other Name (5)Kelly Ann Zimmerman Fnp, Rnfa

Secondary Practice Locations 2

Location 17580 Clarington CvSouthaven, MS 38671-5657 · Phone (901) 641-3000 · Fax (901) 259-1698

Location 22100 Exeter Rd Ste 200Germantown, TN 38138-3966 · Phone (901) 641-3000 · Fax (901) 373-3804

Other Identifiers 2

Other901950MS · Ms License

Other17474TN · Tn License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly A Mundy Fnp, Rnfa 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 ID7911078092

PECOS Enrollment IDI20130612000244, I20170531001373

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.

Medicare Billing Reassignments

Medicare enrollment records show Kelly Mundy reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Msk Group, PC

Same address

Orthopaedic Surgery

6286 BRIARCREST AVE STE 200
Memphis, TN 38120

Reassigned Medicare billing, Tennessee enrollment
175 clinicians in this Medicare group

NPI 1376541409 (901) 259-1600

Gulf South Wound Care LLC

1.8 mi

Undersea and Hyperbaric Medicine

6019 WALNUT GROVE RD
Memphis, TN 38120

Reassigned Medicare billing, Mississippi and Tennessee enrollments
7 clinicians in this Medicare group

NPI 1720877376 (228) 865-1330

Mid-South Imaging & Therapeutics, P.A.

2.6 mi

Diagnostic Radiology

7600 WOLF RIVER BLVD., #200
Germantown, TN 38138

Reassigned Medicare billing, Mississippi and Tennessee enrollments
80 clinicians in this Medicare group

NPI 1043260763 (901) 747-1000

Wound Management Specialists, LLC

191 mi

Nurse Practitioner

120 STONE CREEK BLVD STE 300
Flowood, MS 39232

Reassigned Medicare billing, Tennessee enrollment
42 clinicians in this Medicare group

NPI 1972150084 (769) 243-6141

Healthcare Plus Limited Liability Company

353 mi

Specialist

1108 BELMONT PL
Metairie, LA 70001

Reassigned Medicare billing, Tennessee enrollment
33 clinicians in this Medicare group

NPI 1063927465 (769) 243-6141

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

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.

198 services32 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

185 services30 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.

62 services17 patients

Removal of skin and tissue, each additional 20.0 sq cm or less 11045

This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.

58 services12 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.

48 services15 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440048

Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby County

Emergency services Birthing friendly

Baptist Memorial Hospital Tipton

Acute Care Hospitals · Covington, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440131

Location1995 Highway 51 SCovington, TN 38019 · Tipton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38120 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.

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.

PRECIOUS ERICA CUNNINGHAM FNP-C

Nurse Practitioner (Family)