MS. KELLY RENEE CONKLIN DNP
NPI 1609893395
Nurse Practitioner - Family in Roseburg, OR

Q: What is Kelly Conklin's NPI number?

The NPI number for Kelly Conklin is 1609893395. It was assigned to this individual provider in the NPPES registry on July 17, 2006. The provider is also known as Ms. Kelly Renee O'brien Dnp.

Q: What is Kelly Conklin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Conklin was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 July 17, 2006PECOS EnrolledAccepts Medicare Assignment

913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97471(541) 440-1000(541) 440-1230 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2025, Jul 21, 2022, Aug 23, 2017 (3 updates tracked since 2017).

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About Ms. Kelly Renee Conklin Dnp NPPES

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

MS. KELLY RENEE CONKLIN DNP (NPI 1609893395) is an individual family provider in Roseburg, Oregon, licensed in Oregon (200450145NP) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1609893395

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. KELLY RENEE CONKLINCredential: DNP

Location Address913 NW GARDEN VALLEY BLVDRoseburg, OR 97471

Mailing Address913 Nw Garden Valley BlvdRoseburg, OR 97471 · (541) 440-1000 · Fax (541) 440-1230

Phone(541) 440-1000

Fax(541) 440-1230

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateJuly 17, 2006

Last NPPES UpdateFebruary 25, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 25, 2026

✔ NPI 1609893395 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 OR · 200450145NP

913 NW GARDEN VALLEY BLVD, Roseburg, OR 97471

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Other Names 1

Former Name (1)Ms. Kelly Renee O'brien Dnp

Other Identifiers 1

Other93-1148588OR · Employer Identification

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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

Ms. Kelly Renee Conklin Dnp 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 ID7618009648

PECOS Enrollment IDI20100709000521

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.

Mercy Medical Center

Acute Care Hospitals · Roseburg, OR

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number380027

Location2700 NW Stewart ParkwayRoseburg, OR 97471 · Douglas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97471 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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.

ROSEBURG VAMC

Department of Veterans Affairs (VA) Pharmacy