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MANDY KELLY APRN
NPI 1801760368
Nurse Practitioner in Dallas, TX

Active since September 30, 2025PECOS Enrolled
7777 FOREST LN, DALLAS, TX 75230(972) 566-7000 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mandy Kelly Aprn NPPES

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

MANDY KELLY APRN (NPI 1801760368) is an individual nurse practitioner in Dallas, Texas, licensed in Texas (1214196) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1801760368
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMANDY KELLYCredential: APRN
Location Address7777 FOREST LNDallas, TX 75230-2571
Mailing Address7777 Forest Ln Ste C840Dallas, TX 75230-2594 · (214) 274-1676
Phone(972) 566-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
✔ NPI 1801760368 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 TX · 1214196
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.
7777 FOREST LN, Dallas, TX 75230
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mandy Kelly Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739670134
PECOS Enrollment IDI20251113002216
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 75230 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

JEFFREY SZOT M.D.
Emergency Medicine
7777 FOREST LN
DALLAS, TX 75230
Dallas County (972) 566-2667
NORTH DALLAS ORTHOPEDICS & REHABILITATION, PA
Clinic/Center
7777 FOREST LN, C-500
DALLAS, TX 75230
Dallas County (972) 566-6366
KASEY REHME
Speech-Language Pathologist
7777 FOREST LN
DALLAS, TX 75230
Dallas County (972) 566-7000
DR. CHRISTIAN BREWER MD
Emergency Medicine
7777 FOREST LN
DALLAS, TX 75230
Dallas County (972) 566-7000
JEFFREY L. HORSWELL, MD PA
Anesthesiology
7777 FOREST LN
DALLAS, TX 75230
Dallas County (972) 247-9946
MRS. AMELIE P. MCKNEELY PA-C
Physician Assistant (Surgical)
7777 FOREST LN
DALLAS, TX 75230
Dallas County (972) 566-7000
MRS. SUSAN KAY DEAHL M.C.D.
Audiologist-Hearing Aid Fitter
7777 FOREST LN, BUILDING C SUITE 100
DALLAS, TX 75230
Dallas County (972) 566-4848
360 ANESTHESIA, PA
Anesthesiology
7777 FOREST LN
DALLAS, TX 75230
Dallas County (972) 566-4817

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 Mandy Kelly's NPI number?

The NPI number for Mandy Kelly is 1801760368. It was assigned to this individual provider in the NPPES registry on September 30, 2025.

Where is Mandy Kelly located?

Mandy Kelly practices at 7777 Forest Ln, Dallas, TX 75230. The listed phone number is (972) 566-7000.

What is Mandy Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mandy Kelly enrolled in Medicare?

Yes. Mandy Kelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mandy Kelly was last updated on September 30, 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.