WILLIE FAYE KELLY NP
NPI 1447859053
Nurse Practitioner - Psychiatric/Mental Health in Memphis, TN

Active since October 23, 2020PECOS EnrolledAccepts Medicare Assignment
1331 UNION AVE STE 1226, MEMPHIS, TN 38104(901) 235-1722 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Willie Faye Kelly Np NPPES

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

WILLIE FAYE KELLY NP (NPI 1447859053) is an individual psychiatric/mental health provider in Memphis, Tennessee, licensed in Tennessee (PENDING) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1447859053
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameWILLIE FAYE KELLYCredential: NP
Location Address1331 UNION AVE STE 1226Memphis, TN 38104-7509
Mailing Address2220 Union AveMemphis, TN 38104-4315 · (901) 567-3554 · Fax (901) 567-3559
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 23, 2020
Last NPPES UpdateSeptember 22, 2023
NPPES CertifiedSeptember 22, 2023
NPI 1447859053 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
Licenses Licensed in TN · PENDING Licensed in TN · 28400
1331 UNION AVE STE 1226, Memphis, TN 38104

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

Willie Faye 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.

PECOS PAC ID9537569454
PECOS Enrollment IDI20210615002072
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

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.

Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38104 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

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

Social Worker (Clinical)
1331 UNION AVE STE 1226
MEMPHIS, TN 38104

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 Willie Kelly's NPI number?

The NPI number for Willie Kelly is 1447859053. It was assigned to this individual provider in the NPPES registry on October 23, 2020.

Where is Willie Kelly located?

Willie Kelly practices at 1331 Union Ave Ste 1226, Memphis, TN 38104. The listed phone number is (901) 235-1722.

What is Willie Kelly's specialty?

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

Is Willie Kelly enrolled in Medicare?

Yes. Willie 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.

What insurance does Willie Kelly accept?

Health plans from Oscar Insurance Company and UnitedHealthcare list Willie Kelly 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 Willie Kelly was last updated on September 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.