KEITH MICHAEL KELLEY APRN-RNP, FNP-C
NPI 1689467003
Nurse Practitioner in Chandler, AZ

Q: What is Keith Kelley's NPI number?

The NPI number for Keith Kelley is 1689467003. It was assigned to this individual provider in the NPPES registry on May 28, 2025.

Q: What is Keith 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 Keith Kelley was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 May 28, 2025PECOS EnrolledAccepts Medicare Assignment

2048 N WOODBURNE PL, CHANDLER, AZ 85224(480) 292-1140 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2025, May 28, 2025 (2 updates tracked since 2025).

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About Keith Michael Kelley Aprn-rnp, Fnp-c NPPES

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

KEITH MICHAEL KELLEY APRN-RNP, FNP-C (NPI 1689467003) is an individual nurse practitioner in Chandler, Arizona, licensed in Arizona (327863) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1689467003

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameKEITH MICHAEL KELLEYCredential: APRN-RNP, FNP-C

Location Address2048 N WOODBURNE PLChandler, AZ 85224-1179

Mailing Address2048 N Woodburne PlChandler, AZ 85224-1179 · (480) 292-1140

Phone(480) 292-1140

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateMay 28, 2025

Last NPPES UpdateAugust 7, 20252 updates tracked since enumeration

NPPES CertifiedAugust 7, 2025

✔ NPI 1689467003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in AZ · 327863

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.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN196998 (AZ)

2048 N WOODBURNE PL, Chandler, AZ 85224

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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 and accepts Medicare assignment

Keith Michael Kelley Aprn-rnp, Fnp-c 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 ID3072009802

PECOS Enrollment IDI20251231002659

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 85224 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

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 Keith Kelley's NPI number?

The NPI number for Keith Kelley is 1689467003. It was assigned to this individual provider in the NPPES registry on May 28, 2025.

Where is Keith Kelley located?

Keith Kelley practices at 2048 N Woodburne Pl, Chandler, AZ 85224. The listed phone number is (480) 292-1140.

What is Keith Kelley's specialty?

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

Is Keith Kelley enrolled in Medicare?

Yes. Keith Kelley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Keith Kelley was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.