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

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

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: July 19, 2026.

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

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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

Phone(931) 528-2541

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

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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.