HALLIE R KELLY NP
NPI 1497204960
Nurse Practitioner in Memphis, TN

Q: What is Hallie Kelly's NPI number?

The NPI number for Hallie Kelly is 1497204960. It was assigned to this individual provider in the NPPES registry on September 26, 2016.

Q: What is Hallie Kelly'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 Hallie Kelly was last updated on April 9, 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.

Active since September 26, 2016PECOS EnrolledAccepts Medicare Assignment

1265 UNION AVE, DEPT OF NEUROLOGY, MEMPHIS, TN 38104(901) 516-2312(901) 516-7395 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2025, Feb 25, 2025, Sep 26, 2016 (3 updates tracked since 2016).

On this page

About Hallie R Kelly Np NPPES

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

HALLIE R KELLY NP (NPI 1497204960) is an individual nurse practitioner in Memphis, Tennessee, licensed in Tennessee (21766) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Of Memphis, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1497204960

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameHALLIE R KELLYCredential: NP

Location Address1265 UNION AVE, DEPT OF NEUROLOGYMemphis, TN 38104

Mailing Address1211 Union Ave Ste 330Memphis, TN 38104-6655

Phone(901) 516-2312

Fax(901) 516-7395

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 26, 2016

Last NPPES UpdateApril 9, 20253 updates tracked since enumeration

NPPES CertifiedApril 3, 2025

✔ NPI 1497204960 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

License✔ Licensed in TN · 21766

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 ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 21766 (TN)

1265 UNION AVE, Memphis, TN 38104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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

Hallie R 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 ID8022396142

PECOS Enrollment IDI20161025000776

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.

Hospital Affiliations CMS Care Compare

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

Methodist Hospitals Of Memphis

Acute Care Hospitals · Memphis, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440049

Location1265 Union Ave Suite 700Memphis, TN 38104 · Shelby County

Emergency services Birthing friendly

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 20

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

MICHAEL FISHER CRNA

Nurse Anesthetist, Certified Registered