MRS. TINA M KELLEY NP-C
NPI 1821454356
Nurse Practitioner - Family in Washington, IN

Active since January 13, 2016PECOS EnrolledAccepts Medicare Assignment
85.59/100
CMS Quality Rating
600 S STATE ROAD 57, WASHINGTON, IN 47501(812) 257-1052(812) 996-7649 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2026, Jan 13, 2016 (2 updates tracked since 2016).

About Mrs. Tina M Kelley Np-c NPPES

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

MRS. TINA M KELLEY NP-C (NPI 1821454356) is an individual family provider in Washington, Indiana, licensed in Indiana (71006060A) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1821454356
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TINA M KELLEYCredential: NP-C
Location Address600 S STATE ROAD 57Washington, IN 47501-4371
Mailing AddressPo Box 631767Cincinnati, OH 45263-1767 · (812) 450-6815 · Fax (812) 450-6822
Fax(812) 996-7649
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 13, 2016
Last NPPES UpdateMarch 5, 20262 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
NPI 1821454356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · 71006060A
Also ListedNurse PractitionerTaxonomy 363L00000X · License 71006060A (IN)
600 S STATE ROAD 57, Washington, IN 47501

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

Mrs. Tina M Kelley Np-c 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 ID7911202148
PECOS Enrollment IDI20160225000620
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 10

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
252 services130 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
132 services132 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
129 services129 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
67 services13 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
26 services21 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Good Samaritan Hospital

Acute Care Hospitals · Vincennes, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number150042
Location520 S 7th StVincennes, IN 47591 · Knox County
Emergency services Birthing friendly

Daviess Community Hospital

Acute Care Hospitals · Washington, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150061
Location1314 E Walnut StWashington, IN 47501 · Daviess County
Emergency services Birthing friendly

Memorial Hospital And Health Care Center

Acute Care Hospitals · Jasper, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150115
Location800 W 9th StJasper, IN 47546 · Dubois County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47501 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

85.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.96
Promoting Interoperability100
Improvement Activities40
Cost69

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers16 claims31 services$5.33 avg. paid by Medicare
Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
1 supplier15 claims160 services$2.93 avg. paid by Medicare
Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each A5057
DME-Orthotic Devices · category DF010N
1 supplier14 claims140 services$8.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
600 S STATE ROAD 57, STE A
WASHINGTON, IN 47501
Family Medicine
600 S STATE ROAD 57, SUITE A
WASHINGTON, IN 47501
Pediatrics
600 S STATE ROAD 57
WASHINGTON, IN 47501
Nurse Practitioner (Family)
600 S STATE ROAD 57
WASHINGTON, IN 47501
Nurse Practitioner
600 S STATE ROAD 57
WASHINGTON, IN 47501
Nurse Practitioner (Family)
600 S STATE ROAD 57
WASHINGTON, IN 47501
Nurse Practitioner (Family)
600 S STATE ROAD 57
WASHINGTON, IN 47501
Nurse Practitioner (Family)
600 S STATE ROAD 57
WASHINGTON, IN 47501

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 Tina Kelley's NPI number?

The NPI number for Tina Kelley is 1821454356. It was assigned to this individual provider in the NPPES registry on January 13, 2016.

Where is Tina Kelley located?

Tina Kelley practices at 600 S State Road 57, Washington, IN 47501. The listed phone number is (812) 257-1052.

What is Tina Kelley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tina Kelley enrolled in Medicare?

Yes. Tina 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.

What insurance does Tina Kelley accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Tina 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.

Is Tina Kelley affiliated with any hospitals?

According to CMS data, Tina Kelley is affiliated with Good Samaritan Hospital, Daviess Community Hospital and Memorial Hospital And Health Care Center.

When was this NPI record last updated?

The NPPES record for Tina Kelley was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.