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KELLY MCLEMORE NP-C
NPI 1609298090
Nurse Practitioner - Family in Nevada, MO

Active since January 20, 2014PECOS Enrolled
900 S ADAMS ST, NEVADA, MO 64772(417) 667-6015 Get Directions Write a Review

NPPES record last updated: January 20, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelly Mclemore Np-c NPPES

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

KELLY MCLEMORE NP-C (NPI 1609298090) is an individual family provider in Nevada, Missouri, licensed in Missouri (2014000701) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1609298090
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY MCLEMORECredential: NP-C
Location Address900 S ADAMS STNevada, MO 64772-3210
Mailing Address900 S Adams StNevada, MO 64772-3210 · (417) 667-6015
Phone(417) 667-6015
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 20, 2014
✔ NPI 1609298090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2014000701
900 S ADAMS ST, Nevada, MO 64772
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Mclemore Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911139167
PECOS Enrollment IDI20251210004517
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 Kelly Mclemore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southeast Medical Group, P.C.
623 mi
Family Medicine
3905 BROOKSIDE PKWY STE 300
Alpharetta, GA 30022
  • Reassigned Medicare billing, Georgia enrollment
  • 240 clinicians in this Medicare group
NPI 1235296054 (770) 442-1911

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 64772 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

SUMMERS PHARMACY OF NEVADA LLC
Pharmacy (Community/Retail Pharmacy)
900 S ADAMS ST
NEVADA, MO 64772
Vernon County (417) 667-6044
NEVADA MEDICAL CLINIC L.L.C.
Clinic/Center (Rural Health)
900 S ADAMS ST
NEVADA, MO 64772
Vernon County (417) 667-6015
DR. BYRON LEONARD PERKINSON M.D.
Family Medicine
900 S ADAMS ST
NEVADA, MO 64772
Vernon County (417) 667-6015
DR. JILL KRISTINE SPANGLER DO
Family Medicine
900 S ADAMS ST
NEVADA, MO 64772
Vernon County (417) 667-6015
COMMUNITY PHARMACY, INC
Durable Medical Equipment & Medical Supplies
900 S ADAMS ST
NEVADA, MO 64772
Vernon County (417) 667-6044
DR. JENNIFER CONLEY M.D.
Family Medicine
900 S ADAMS ST
NEVADA, MO 64772
Vernon County (417) 667-6015
BRIANNE CULBERTSON
Nurse Practitioner (Psychiatric/Mental Health)
900 S ADAMS ST
NEVADA, MO 64772
Vernon County (417) 667-6015
FREDERICK L THOMPSON M.D.
Family Medicine
900 S ADAMS ST
NEVADA, MO 64772
Vernon County (417) 667-6015

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 Mclemore's NPI number?

The NPI number for Kelly Mclemore is 1609298090. It was assigned to this individual provider in the NPPES registry on January 20, 2014.

Where is Kelly Mclemore located?

Kelly Mclemore practices at 900 S Adams St, Nevada, MO 64772. The listed phone number is (417) 667-6015.

What is Kelly Mclemore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Mclemore enrolled in Medicare?

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

Which organization bills Medicare for Kelly Mclemore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Mclemore reassigns Medicare benefits to Southeast Medical Group, P.C. (Alpharetta, GA). 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 Kelly Mclemore'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 Kelly Mclemore was last updated on January 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.