LAURA NICOLE KELLEWAY FNP-C
NPI 1710522198
Nurse Practitioner - Family in Oxford, MS

Active since November 09, 2019PECOS Enrolled
23 COUNTY ROAD 205, OXFORD, MS 38655(901) 268-9862 Get Directions Write a Review

NPPES record last updated: November 9, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Laura Nicole Kelleway Fnp-c NPPES

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

LAURA NICOLE KELLEWAY FNP-C (NPI 1710522198) is an individual family provider in Oxford, Mississippi, licensed in Mississippi (903033) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710522198
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLAURA NICOLE KELLEWAYCredential: FNP-C
Location Address23 COUNTY ROAD 205Oxford, MS 38655-9794
Mailing Address23 County Road 205Oxford, MS 38655-9794 · (901) 268-9862
Sole ProprietorYes
Enumeration DateNovember 9, 2019
✔ NPI 1710522198 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
License✔ Licensed in MS · 903033
23 COUNTY ROAD 205, Oxford, MS 38655

Other Names 1

Former Name (1)Laura Nicole Heaberlin

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laura Nicole Kelleway Fnp-c 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 Laura Kelleway reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
2716 W OXFORD LOOP STE 171
Oxford, MS 38655
  • Reassigned Medicare billing, Mississippi enrollment
  • 43 clinicians in this Medicare group

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 38655 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 Laura Kelleway's NPI number?

The NPI number for Laura Kelleway is 1710522198. It was assigned to this individual provider in the NPPES registry on November 9, 2019. The provider is also known as Laura Nicole Heaberlin.

Where is Laura Kelleway located?

Laura Kelleway practices at 23 County Road 205, Oxford, MS 38655. The listed phone number is (901) 268-9862.

What is Laura Kelleway's specialty?

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

Is Laura Kelleway enrolled in Medicare?

Yes. Laura Kelleway is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Laura Kelleway's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laura Kelleway reassigns Medicare benefits to North Mississippi Primary Health Care, Inc. (Oxford, MS). 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 Laura Kelleway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Laura Kelleway accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Laura Kelleway 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 Laura Kelleway was last updated on November 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.