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MRS. BEVERLY SHELLEY KELLY FNP
NPI 1609242577
Nurse Practitioner in Arley, AL

Active since August 14, 2015PECOS Enrolled
614 PARADISE WAY, ARLEY, AL 35541(678) 343-5302 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Beverly Shelley Kelly Fnp NPPES

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

MRS. BEVERLY SHELLEY KELLY FNP (NPI 1609242577) is an individual nurse practitioner in Arley, Alabama, licensed in Alabama (1-181005) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609242577
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. BEVERLY SHELLEY KELLYCredential: FNP
Location Address614 PARADISE WAYArley, AL 35541-0150
Mailing Address614 Paradise WayArley, AL 35541-0150 · (678) 343-5302
Phone(678) 343-5302
Sole ProprietorNo
Enumeration DateAugust 14, 2015
Last NPPES UpdateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
✔ NPI 1609242577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AL · 1-181005
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.
614 PARADISE WAY, Arley, AL 35541
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Beverly Shelley Kelly Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Beverly Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health, LLC
565 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Alabama enrollment
  • 456 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35541 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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 Beverly Kelly's NPI number?

The NPI number for Beverly Kelly is 1609242577. It was assigned to this individual provider in the NPPES registry on August 14, 2015.

Where is Beverly Kelly located?

Beverly Kelly practices at 614 Paradise Way, Arley, AL 35541. The listed phone number is (678) 343-5302.

What is Beverly Kelly's specialty?

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

Is Beverly Kelly enrolled in Medicare?

Yes. Beverly Kelly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Beverly Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Beverly Kelly reassigns Medicare benefits to Signify Health, LLC (Dallas, TX). The 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 Beverly Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Beverly Kelly was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.