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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HANNAH ROSE KELLY
NPI 1699308924
Psychiatry & Neurology - Neurology in Tacoma, WA

Active since February 14, 2020PECOS Enrolled
9040 JACKSON AVE, TACOMA, WA 98431(253) 968-1440 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 29, 2026, Jun 24, 2024, Jun 17, 2024 and 1 more (4 updates tracked since 2020).

About Hannah Rose Kelly NPPES

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

HANNAH ROSE KELLY (NPI 1699308924) is an individual neurology provider in Tacoma, Washington, licensed in Washington (MD.MD.70041948) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tacoma.

NPPES Registry Identity

NPI1699308924
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameHANNAH ROSE KELLY
Location Address9040 JACKSON AVETacoma, WA 98431-0001
Mailing Address9040 Jackson AveFort Lewis, WA 98431 · (253) 968-1110
Phone(253) 968-1440
Sole ProprietorNo
Enumeration DateFebruary 14, 2020
Last NPPES UpdateSeptember 29, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2026
✔ NPI 1699308924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in WA · MD.MD.70041948
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
9040 JACKSON AVE, Tacoma, WA 98431
Open in Google Maps ↗

Other Names 1

Former Name (1)Hannah Rose Zimmerman

Secondary Practice Location 1

Location 11608 S J St Fl 5Tacoma, WA 98405-4930 · Phone (253) 274-7505 · Fax (253) 274-7947

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hannah Rose Kelly 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.

Medicare Billing Reassignment

Medicare enrollment records show Hannah Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vanderbilt University Medical Center
1,979 mi
Internal Medicine
1301 22ND AVE S
Nashville, TN 37232
  • Reassigned Medicare billing, Tennessee enrollment
  • 4,711 clinicians in this Medicare group
NPI 1104202761 (615) 936-2000

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 98431 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 JOHN MEANS CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2235
DR. ADAM CLAY PERKINS PH.D.
Psychologist (Clinical)
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-3071
GABRIELLE ABRAHAMSEN DPT
Physical Therapist
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2220
KENNY VAN LE MD
Anesthesiology
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1110
MR. ANDREW J IRIZARRY DNP, CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (330) 509-3934
MATTHEW LIBID CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (203) 768-5053
DR. SALEEM M CHOUDRY
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2462
COURTNEY LAVIN
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1790

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 Hannah Kelly's NPI number?

The NPI number for Hannah Kelly is 1699308924. It was assigned to this individual provider in the NPPES registry on February 14, 2020. The provider is also known as Hannah Rose Zimmerman.

Where is Hannah Kelly located?

Hannah Kelly practices at 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (253) 968-1440.

What is Hannah Kelly's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Hannah Kelly enrolled in Medicare?

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

Which organization bills Medicare for Hannah Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hannah Kelly reassigns Medicare benefits to Vanderbilt University Medical Center (Nashville, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hannah Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hannah Kelly accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Hannah Kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hannah Kelly was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.