DR. RAY DON KELLEY MD
NPI 1780654137
Family Medicine in Wasilla, AK
About Dr. Ray Don Kelley Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RAY DON KELLEY MD (NPI 1780654137) is an individual family medicine provider in Wasilla, Alaska, licensed in Alaska (4001) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Sanford School Of Medicine Of University Of South Dakota (1996).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
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
Dr. Ray Don Kelley Md 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 Reassignment
Medicare enrollment records show Ray Kelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wasilla, AK 99654
- Reassigned Medicare billing, Alaska enrollment
- 67 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 19
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 99654 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 8
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WASILLA, AK 99654
WASILLA, AK 99654
WASILLA, AK 99654
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 Ray Kelley's NPI number?
The NPI number for Ray Kelley is 1780654137. It was assigned to this individual provider in the NPPES registry on January 26, 2006.
Where is Ray Kelley located?
Ray Kelley practices at 3066 E Meridian Park Loop, Wasilla, AK 99654. The listed phone number is (907) 357-9590.
What is Ray Kelley's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ray Kelley enrolled in Medicare?
Yes. Ray Kelley 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 organization bills Medicare for Ray Kelley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ray Kelley reassigns Medicare benefits to Medical Network Of Alaska, LLC (Wasilla, AK). 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 Ray Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ray Kelley accept?
Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Ray 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 Ray Kelley was last updated on October 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. Ray Don Kelley, MD · NPI 1780654137
Family Medicine physician in Wasilla, Alaska. Individual provider, active in the CMS NPPES registry since January 26, 2006.
## Identity
- **NPI:** 1780654137 (Entity type: Individual)
- **Enumerated:** January 26, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 4001 (Alaska)
- **Sole proprietor:** No
## Practice location
- **Address:** 3066 E MERIDIAN PARK LOOP, Wasilla, AK 99654-7299
- **Phone:** (907) 357-9590
## 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:** Medical Network Of Alaska, LLC (NPI 1710667902, Wasilla, AK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Sanford School Of Medicine Of University Of South Dakota, class of 1996
## Record status
- **NPPES last updated:** October 13, 2011
- **Other identifiers:** Medicaid MD9831 (AK)
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Source: [NPI Profile](https://npiprofile.com/npi/1780654137) · Data from the CMS NPPES public registry.