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KRISTA MARIE KELLY PA-C
NPI 1477134443
Physician Assistant - Medical in Mountain Home Afb, ID

Active since April 20, 2021
90 HOPE DR, MOUNTAIN HOME AFB, ID 83648(208) 828-7505 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 6, 2022, Apr 20, 2021 (2 updates tracked since 2021).

About Krista Marie Kelly Pa-c NPPES

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

KRISTA MARIE KELLY PA-C (NPI 1477134443) is an individual medical provider in Mountain Home Afb, Idaho and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1477134443
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKRISTA MARIE KELLYCredential: PA-C
Location Address90 HOPE DRMountain Home Afb, ID 83648-1057
Mailing Address90 Hope Dr Bldg 6000Mountain Home Afb, ID 83648-1062 · (208) 828-6806
Phone(208) 828-7505
Sole ProprietorNo
Enumeration DateApril 20, 2021
Last NPPES UpdateApril 28, 20252 updates tracked since enumeration
NPPES CertifiedApril 28, 2025
✔ NPI 1477134443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
90 HOPE DR, Mountain Home Afb, ID 83648
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Other Identifiers 1

Other1204799Nccpa

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.

KIRSTY LYNN HOUSE IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
90 HOPE DR, 366TH MEDICAL GROUP
MOUNTAIN HOME AFB, ID 83648
Elmore County (208) 828-6806
JACQUELINE A SHAFER LCSW
Social Worker (Clinical)
90 HOPE DR
MOUNTAIN HOME AFB, ID 83648
Elmore County (208) 828-7531
CASEY ELIZABETH LYNCH WHNP-BC
Nurse Practitioner (Women's Health)
90 HOPE DR
MOUNTAIN HOME AFB, ID 83648
Elmore County (208) 828-6806
MR. DENNIS JACOB REUTER IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
90 HOPE DR
MOUNTAIN HOME AFB, ID 83648
Elmore County (360) 304-2048
DR. NATHAN TUAEFU PALMER M.D.
Family Medicine
90 HOPE DR
MOUNTAIN HOME AFB, ID 83648
Elmore County (907) 903-9212
MR. STEVE A. NEFF MSW
Counselor
90 HOPE DR, 366 MEDGRP (ACC)/FAMILY ADVOCACY
MOUNTAIN HOME A F B, ID 83648
Elmore County (208) 828-7520
DR. ERIC DOUGLAS NIELSEN O.D.
Optometrist
90 HOPE DR, OPTOMETRY CLINIC
MOUNTAIN HOME A F B, ID 83648
Elmore County (208) 828-7250
DR. JENNIFER LYNN HUDSON D.O.
Obstetrics & Gynecology
90 HOPE DR, 366 MEDICAL GROUP, WOMEN'S HEALTH
MOUNTAIN HOME A F B, ID 83648
Elmore County (208) 282-7567

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 Krista Kelly's NPI number?

The NPI number for Krista Kelly is 1477134443. It was assigned to this individual provider in the NPPES registry on April 20, 2021.

Where is Krista Kelly located?

Krista Kelly practices at 90 Hope Dr, Mountain Home Afb, ID 83648. The listed phone number is (208) 828-7505.

What is Krista Kelly's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Krista Kelly was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.