MICHAEL C KELLY NP
NPI 1760425201
Nurse Practitioner in Olympia, WA

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
413 LILLY RD NE, OLYMPIA, WA 98506(360) 491-9480 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1760425201
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMICHAEL C KELLYCredential: NP
Location Address413 LILLY RD NEOlympia, WA 98506-5133
Mailing AddressPo Box 5007Lacey, WA 98509-5007 · (800) 599-0166
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 13, 2006
Last NPPES UpdateJuly 6, 2021
NPPES CertifiedJuly 6, 2021
NPI 1760425201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WA · AP30006322
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

413 LILLY RD NE, Olympia, WA 98506

Other Identifiers 4

Medicaid9635574WA
Other199382Wa L & I
Other6059KERegence Bs
Other8906877Wa Crime Victims

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

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.

PECOS PAC ID7315839719
PECOS Enrollment IDI20050826000379
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 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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
161 services160 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
80 services79 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
23 services21 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
22 services22 patients

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, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500079
Location401 15th Avenue SEPuyallup, WA 98372 · Pierce County
Emergency services Birthing friendly

Capital Medical Center

Acute Care Hospitals · Olympia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500139
Location3900 Capital Mall Dr SWOlympia, WA 98502 · Thurston County
Emergency services Birthing friendly

Physician 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.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
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.

Emergency Medicine
413 LILLY RD NE
OLYMPIA, WA 98506
Emergency Medicine
413 LILLY RD NE, OLYMPIA EMERGENCY SERVICES
OLYMPIA, WA 98506
Pharmacist
413 LILLY RD NE
OLYMPIA, WA 98506
Pharmacist
413 LILLY RD NE
OLYMPIA, WA 98506
Registered Nurse
413 LILLY RD NE
OLYMPIA, WA 98506
Student in an Organized Health Care Education/Training Program
413 LILLY RD NE
OLYMPIA, WA 98506
Emergency Medicine
413 LILLY RD NE, MSDDH09
OLYMPIA, WA 98506
Social Worker (Clinical)
413 LILLY RD NE
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.

What insurance does Michael Kelly accept?

Health plans from Providence Health Plan list Michael 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.

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 with the weekly NPPES data releases published by CMS.