MS. KELLY T DOWDEN APRN
NPI 1710592720
Nurse Practitioner - Family in Memphis, TN

Active since September 15, 2020PECOS EnrolledAccepts Medicare Assignment
75.06/100
CMS Quality Rating
880 MADISON AVE, MEMPHIS, TN 38103(901) 545-8535 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 26, 2022, Jun 27, 2021, Sep 15, 2020 (3 updates tracked since 2020).

About Ms. Kelly T Dowden Aprn NPPES

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

MS. KELLY T DOWDEN APRN (NPI 1710592720) is an individual family provider in Memphis, Tennessee, licensed in Tennessee (27954) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with Regional One Health, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1710592720
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KELLY T DOWDENCredential: APRN
Location Address880 MADISON AVEMemphis, TN 38103-3409
Mailing Address2115 Union AveMemphis, TN 38104-4233 · (866) 389-2727
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 15, 2020
Last NPPES UpdateJuly 26, 20223 updates tracked since enumeration
NPPES CertifiedJuly 26, 2022
NPI 1710592720 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 TN · 27954
880 MADISON AVE, Memphis, TN 38103

Accepted Insurance

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

Ms. Kelly T Dowden Aprn 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 ID4981015856
PECOS Enrollment IDI20201125000176
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
39 services13 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
23 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Regional One Health

Acute Care Hospitals · Memphis, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440152
Location877 Jefferson AvenueMemphis, TN 38103 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38103 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.46
Improvement Activities40
Cost71.87

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.

Nurse Practitioner (Family)
880 MADISON AVE
MEMPHIS, TN 38103
Pharmacist
880 MADISON AVE
MEMPHIS, TN 38103
Internal Medicine (Cardiovascular Disease)
880 MADISON AVE
MEMPHIS, TN 38103
Internal Medicine (Rheumatology)
880 MADISON AVE
MEMPHIS, TN 38103
Pharmacy (Specialty Pharmacy)
880 MADISON AVE
MEMPHIS, TN 38103
Internal Medicine (Rheumatology)
880 MADISON AVE
MEMPHIS, TN 38103
Nurse Practitioner (Psychiatric/Mental Health)
880 MADISON AVE
MEMPHIS, TN 38103
Internal Medicine (Gastroenterology)
880 MADISON AVE
MEMPHIS, TN 38103

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 Kelly Dowden's NPI number?

The NPI number for Kelly Dowden is 1710592720. It was assigned to this individual provider in the NPPES registry on September 15, 2020.

Where is Kelly Dowden located?

Kelly Dowden practices at 880 Madison Ave, Memphis, TN 38103. The listed phone number is (901) 545-8535.

What is Kelly Dowden's specialty?

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

Is Kelly Dowden enrolled in Medicare?

Yes. Kelly Dowden 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.

What insurance does Kelly Dowden accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Kelly Dowden 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.

Is Kelly Dowden affiliated with any hospitals?

According to CMS data, Kelly Dowden is affiliated with Regional One Health.

When was this NPI record last updated?

The NPPES record for Kelly Dowden was last updated on July 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.