MANDY KELLY APRN
NPI 1801760368
Nurse Practitioner in Dallas, TX

Q: 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.

Q: What is Mandy Kelly's specialty?

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

Q: 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 13 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.

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: October 25, 2026.

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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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Mandy Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dallas Medical Specialists, PLLC

Same address

Internal Medicine

7777 FOREST LN, SUITE C -300
Dallas, TX 75230

Reassigned Medicare billing, Texas enrollment
70 clinicians in this Medicare group

NPI 1508217811 (972) 566-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Mandy Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mandy Kelly reassigns Medicare benefits to Dallas Medical Specialists, PLLC (Dallas, TX). 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 Mandy Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mandy Kelly accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Molina Healthcare, Oscar Insurance Company and UnitedHealthcare list Mandy 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.

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 13 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.