ALYSSA MICHELLE KELLEY APRN-CNP, NNP-BC
NPI 1760367288
Nurse Practitioner - Neonatal in Oklahoma City, OK

Active since August 06, 2025PECOS Enrolled
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104(405) 271-5266 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2025, Aug 6, 2025 (2 updates tracked since 2025).

About Alyssa Michelle Kelley Aprn-cnp, Nnp-bc NPPES

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

ALYSSA MICHELLE KELLEY APRN-CNP, NNP-BC (NPI 1760367288) is an individual neonatal provider in Oklahoma City, Oklahoma, licensed in Oklahoma (225168) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fayetteville, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1760367288
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameALYSSA MICHELLE KELLEYCredential: APRN-CNP, NNP-BC
Location Address1200 CHILDRENS AVEOklahoma City, OK 73104-4637
Mailing Address1200 Childrens AveOklahoma City, OK 73104-4637
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 6, 2025
Last NPPES UpdateOctober 10, 20252 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
NPI 1760367288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
Licenses Licensed in OK · 225168 Licensed in AR · 235041
1200 CHILDRENS AVE, Oklahoma City, OK 73104

Secondary Practice Location 1

Location 13215 N Northhills BlvdFayetteville, AR 72703-4424 · Phone (479) 463-3400

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 (PECOS)

Alyssa Michelle Kelley Aprn-cnp, Nnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254837875
PECOS Enrollment IDI20251002002605
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 73104 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

Student in an Organized Health Care Education/Training Program
1200 CHILDRENS AVE, SUITE 4D
OKLAHOMA CITY, OK 73104
Nurse Practitioner (Pediatrics)
1200 CHILDRENS AVE, SUITE 10000
OKLAHOMA CITY, OK 73104
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Dietitian, Registered
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Pediatrics (Hospice and Palliative Medicine)
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104

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 Alyssa Kelley's NPI number?

The NPI number for Alyssa Kelley is 1760367288. It was assigned to this individual provider in the NPPES registry on August 6, 2025.

Where is Alyssa Kelley located?

Alyssa Kelley practices at 1200 Childrens Ave, Oklahoma City, OK 73104. The listed phone number is (405) 271-5266.

What is Alyssa Kelley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Is Alyssa Kelley enrolled in Medicare?

Yes. Alyssa Kelley is registered in the Medicare PECOS enrollment system.

What insurance does Alyssa Kelley accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Alyssa Kelley 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 Alyssa Kelley was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.