MR. JAMES PATRICK KELLY III FNP-BC
NPI 1679062418
Nurse Practitioner - Family in Cookeville, TN

Active since May 08, 2018PECOS Enrolled
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501(931) 528-2541 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 24, 2022, May 8, 2018 (2 updates tracked since 2018).

About Mr. James Patrick Kelly Iii Fnp-bc NPPES

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

MR. JAMES PATRICK KELLY III FNP-BC (NPI 1679062418) is an individual family provider in Cookeville, Tennessee, licensed in Tennessee (28550) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679062418
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JAMES PATRICK KELLY IIICredential: FNP-BC
Location Address1 MEDICAL CENTER BLVDCookeville, TN 38501-4294
Mailing Address5610 Sparta HwyCrossville, TN 38572-3924 · (931) 218-6398
Sole ProprietorNo
Enumeration DateMay 8, 2018
Last NPPES UpdateAugust 24, 20222 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
NPI 1679062418 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
Licenses Licensed in TN · 28550 Licensed in MI · 4704286117
1 MEDICAL CENTER BLVD, Cookeville, TN 38501

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. James Patrick Kelly Iii Fnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38501 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.

Anesthesiology
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Hospitalist
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Internal Medicine
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Nurse Anesthetist, Certified Registered
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Anesthesiology
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Occupational Therapist
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Nurse Practitioner (Acute Care)
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501
Pharmacist
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 38501

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 James Kelly's NPI number?

The NPI number for James Kelly is 1679062418. It was assigned to this individual provider in the NPPES registry on May 8, 2018.

Where is James Kelly located?

James Kelly practices at 1 Medical Center Blvd, Cookeville, TN 38501. The listed phone number is (931) 528-2541.

What is James Kelly's specialty?

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

Is James Kelly enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for James Kelly was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.