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KELLY FAMILY MEDICINE
NPI 1467495226
Family Medicine in Oklahoma City, OK

Active since June 13, 2006
13921 N MERIDIAN AVE STE 100, OKLAHOMA CITY, OK 73134(405) 752-9600(405) 752-9650 Get Directions Write a Review

NPPES record last updated: October 31, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kelly Family Medicine NPPES

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

KELLY FAMILY MEDICINE (NPI 1467495226) is a healthcare organization registered as a family medicine in Oklahoma City, Oklahoma and active in the NPI registry since June 2006. The organization lists Stephen Blake Kelly, Doctor, as its authorized official.

NPPES Registry Identity

NPI1467495226
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKELLY MEDICAL, PC
Location Address13921 N MERIDIAN AVE STE 100Oklahoma City, OK 73134-1106
Mailing AddressPo Box 268938Oklahoma City, OK 73126-8938 · (405) 752-9600 · Fax (405) 752-9650
Phone(405) 752-9600
Fax(405) 752-9650
Organization SubpartNo
Authorized OfficialStephen Blake KellyDoctor · (405) 752-9600
Enumeration DateJune 13, 2006
Last NPPES UpdateOctober 31, 2019
✔ NPI 1467495226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
13921 N MERIDIAN AVE STE 100, Oklahoma City, OK 73134
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Other Names 1

Doing Business AsKelly Family Medicine

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Kelly Family Medicine, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Stephen Kelly, M.D.
Family Practice
NPI 1134167455
13921 N MERIDIAN AVE STE 100
Oklahoma City, OK 73134
(405) 752-9600
✔ PECOS✔ Accepts MedicareSame address
Matthew Munda, CRNP
Nurse Practitioner
NPI 1114300316
13921 N MERIDIAN AVE STE 100
Oklahoma City, OK 73134
(405) 752-9600
Same address
Karie Stewart, ARNP
Nurse Practitioner
NPI 1184893000
13921 N MERIDIAN AVE STE 100
Oklahoma City, OK 73134
(405) 752-6000
✔ PECOS✔ Accepts MedicareSame address
Stacy Weible-Torres, ARNP
Nurse Practitioner
NPI 1891005823
4120 W MEMORIAL RD STE 300
Oklahoma City, OK 73120
(405) 302-2661
✔ PECOS✔ Accepts Medicare0.5 mi
Jamie Merideth, APRN-C
Nurse Practitioner
NPI 1306436019
14101 N EASTERN AVE STE B
Edmond, OK 73013
(405) 285-5664
✔ PECOS✔ Accepts Medicare7.0 mi
Jennifer Holeman, DO
Anesthesiology
NPI 1376804781
920 STANTON L YOUNG BLVD # WP1140
Oklahoma City, OK 73104
(405) 271-4351
✔ PECOS✔ Accepts Medicare11 mi
Jeri Hargrave, ARNP
Nurse Practitioner
NPI 1346240199
117 PARK AVE
Oklahoma City, OK 73102
(405) 606-2260
✔ PECOS✔ Accepts Medicare11 mi
Jeaneth Hidalgo De Rangel, APRN
Nurse Practitioner
NPI 1659006708
1025 STRAKA TER
Oklahoma City, OK 73139
(405) 632-6688
✔ PECOS✔ Accepts Medicare16 mi

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 Kelly Medical, PC's NPI number?

The NPI number for Kelly Medical, PC is 1467495226. It was assigned to this organization in the NPPES registry on June 13, 2006. The provider is doing business as Kelly Family Medicine.

Where is Kelly Medical, PC located?

Kelly Medical, PC is located at 13921 N Meridian Ave Ste 100, Oklahoma City, OK 73134. The listed phone number is (405) 752-9600.

What is Kelly Medical, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kelly Medical, PC enrolled in Medicare?

Yes. Kelly Medical, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kelly Medical, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Kelly Medical, PC. 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. The largest specialties are Nurse Practitioner (6), Anesthesiology (1) and Family Practice (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Medical, PC was last updated on October 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.