CHELSE BREANN KELLEY FNP
NPI 1679417687
Nurse Practitioner in Memphis, TN

Q: What is Chelse Kelley's NPI number?

The NPI number for Chelse Kelley is 1679417687. It was assigned to this individual provider in the NPPES registry on April 18, 2026.

Q: What is Chelse Kelley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Chelse Kelley was last updated on April 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 April 18, 2026PECOS Enrolled

1265 UNION AVE, MEMPHIS, TN 38104(901) 516-7000 Get Directions Write a Review

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

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About Chelse Breann Kelley Fnp NPPES

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

CHELSE BREANN KELLEY FNP (NPI 1679417687) is an individual nurse practitioner in Memphis, Tennessee, licensed in Tennessee (41845) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1679417687

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCHELSE BREANN KELLEYCredential: FNP

Location Address1265 UNION AVEMemphis, TN 38104-3415

Mailing Address674 Woodland Fox Ln WCordova, TN 38018-1147 · (901) 672-9026

Phone(901) 516-7000

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateApril 18, 2026

NPPES CertifiedApril 18, 2026

✔ NPI 1679417687 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 TN · 41845

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.

1265 UNION AVE, Memphis, TN 38104

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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)

Chelse Breann Kelley Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113482001

PECOS Enrollment IDI20260721004241

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 Reassignments

Medicare enrollment records show Chelse Kelley reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Methodist University Emergency Physicians PLLC

Same address

Emergency Medicine

1265 UNION AVE
Memphis, TN 38104

Reassigned Medicare billing, Tennessee enrollment
253 clinicians in this Medicare group

NPI 1023899291 (901) 516-7000

Methodist South Emergency Physicians, PLLC

7.2 mi

Emergency Medicine

1300 WESLEY DR
Memphis, TN 38116

Reassigned Medicare billing, Tennessee enrollment
252 clinicians in this Medicare group

NPI 1609657873 (901) 516-3700

Methodist North Emergency Physicians, PLLC

9.8 mi

Emergency Medicine

3960 NEW COVINGTON PIKE
Memphis, TN 38128

Reassigned Medicare billing, Tennessee enrollment
250 clinicians in this Medicare group

NPI 1801677083 (901) 516-5200

Germantown Emergency Physicians, PLLC

12 mi

Emergency Medicine

7691 POPLAR AVE
Germantown, TN 38138

Reassigned Medicare billing, Tennessee enrollment
251 clinicians in this Medicare group

NPI 1518747526 (901) 516-6000

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 38104 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.

MICHAEL FISHER CRNA

Nurse Anesthetist, Certified Registered