MICHAEL C KELLY NP
NPI 1760425201
Nurse Practitioner in Olympia, WA
About Michael C Kelly Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL C KELLY NP (NPI 1760425201) is an individual nurse practitioner in Olympia, Washington, licensed in Washington (AP30006322) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Multicare Good Samaritan Hospital, and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Michael C Kelly Np 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.
Medicare Billing Reassignments
3Medicare enrollment records show Michael Kelly reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Olympia, WA 98506
- Reassigned Medicare billing, Washington enrollment
- 51 clinicians in this Medicare group
Olympia, WA 98502
- Reassigned Medicare billing, Washington enrollment
- 58 clinicians in this Medicare group
Parkland, WA 98444
- Reassigned Medicare billing, Washington enrollment
- 105 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Multicare Good Samaritan Hospital
Acute Care Hospitals · Puyallup, WACapital Medical Center
Acute Care Hospitals · Olympia, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
OLYMPIA, WA 98506
OLYMPIA, WA 98506
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 Michael Kelly's NPI number?
The NPI number for Michael Kelly is 1760425201. It was assigned to this individual provider in the NPPES registry on June 13, 2006.
Where is Michael Kelly located?
Michael Kelly practices at 413 Lilly Rd NE, Olympia, WA 98506. The listed phone number is (360) 491-9480.
What is Michael Kelly's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Michael Kelly enrolled in Medicare?
Yes. Michael Kelly 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.
Which organizations bill Medicare for Michael Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Kelly reassigns Medicare benefits to 3 organizations: Olympia Emergency Services, PLLC (Olympia, WA), Olympia Emergency Care Physicians PLLC (Olympia, WA) and Western Washington Emergency Physicians PLLC (Parkland, WA). Each 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 Michael Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Michael Kelly affiliated with any hospitals?
According to CMS data, Michael Kelly is affiliated with Multicare Good Samaritan Hospital and Capital Medical Center.
When was this NPI record last updated?
The NPPES record for Michael Kelly was last updated on July 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Michael C Kelly, NP · NPI 1760425201
Nurse Practitioner physician in Olympia, Washington. Individual provider, active in the CMS NPPES registry since June 13, 2006.
## Identity
- **NPI:** 1760425201 (Entity type: Individual)
- **Enumerated:** June 13, 2006
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** AP30006322 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 413 LILLY RD NE, Olympia, WA 98506-5133
- **Phone:** (360) 491-9480
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Olympia Emergency Services, PLLC (NPI 1346267796, Olympia, WA); Olympia Emergency Care Physicians PLLC (NPI 1396498671, Olympia, WA); Western Washington Emergency Physicians PLLC (NPI 1801352505, Parkland, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** July 6, 2021
- **Other identifiers:** Medicaid 9635574 (WA); Other 199382; Other 6059KE; and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1760425201) · Data from the CMS NPPES public registry.