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NANCY KELLY FNP
NPI 1841661980
Nurse Practitioner - Family in Norwalk, CA

Active since October 15, 2015PECOS Enrolled
12360 FIRESTONE BLVD, NORWALK, CA 90650(562) 867-7999 Get Directions Write a Review

NPPES record last updated: July 7, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 7, 2020, May 9, 2016 (2 updates tracked since 2016).

About Nancy Kelly Fnp NPPES

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

NANCY KELLY FNP (NPI 1841661980) is an individual family provider in Norwalk, California, licensed in California (95003876) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841661980
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNANCY KELLYCredential: FNP
Location Address12360 FIRESTONE BLVDNorwalk, CA 90650-4324
Mailing Address12360 Firestone BlvdNorwalk, CA 90650-4324 · (562) 867-7999
Phone(562) 867-7999
Sole ProprietorNo
Enumeration DateOctober 15, 2015
Last NPPES UpdateJuly 7, 20202 updates tracked since enumeration
NPPES CertifiedJuly 7, 2020
✔ NPI 1841661980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95003876
12360 FIRESTONE BLVD, Norwalk, CA 90650
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 Nancy Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jwch Institute, Inc.
Same address
Federally Qualified Health Center (FQHC)
12360 E FIRESTONE BLVD
Norwalk, CA 90650
  • Reassigned Medicare billing, California enrollment
  • 138 clinicians in this Medicare group
NPI 1386708634 (562) 281-0305

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 90650 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 11

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

DR. FARZAM YAZDANFAR D.C.
Chiropractor
12360 FIRESTONE BLVD
NORWALK, CA 90650
Los Angeles County (866) 733-5924
KATIE CHRISTINA MCKAY LCSW
Social Worker (Clinical)
12360 FIRESTONE BLVD
NORWALK, CA 90650
Los Angeles County (562) 867-7999
MRS. VERONICA M REYES M.S.W.
Case Manager/Care Coordinator
12360 FIRESTONE BLVD
NORWALK, CA 90650
Los Angeles County (562) 281-0305
DR. REGINA ISABEL DE LA CRUZ DMD
Dentist (General Practice)
12360 FIRESTONE BLVD
NORWALK, CA 90650
Los Angeles County (866) 733-5924
DR. SHARLITA M. RODGERS-SIMPKINS M.D.
Pediatrics
12360 FIRESTONE BLVD
NORWALK, CA 90650
Los Angeles County (562) 867-7999
DENISE MIRELLA CASTOR RAZO LCSW
Social Worker (Clinical)
12360 FIRESTONE BLVD
NORWALK, CA 90650
Los Angeles County (562) 867-7999
KAREN CHRISTINE PATEL D.O.
Family Medicine
12360 FIRESTONE BLVD
NORWALK, CA 90650
Los Angeles County (562) 867-7999
DR. KENNETH LEE M.D.
Internal Medicine
12360 FIRESTONE BLVD
NORWALK, CA 90650
Los Angeles County (562) 867-7999

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 Nancy Kelly's NPI number?

The NPI number for Nancy Kelly is 1841661980. It was assigned to this individual provider in the NPPES registry on October 15, 2015.

Where is Nancy Kelly located?

Nancy Kelly practices at 12360 Firestone Blvd, Norwalk, CA 90650. The listed phone number is (562) 867-7999.

What is Nancy Kelly's specialty?

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

Is Nancy Kelly enrolled in Medicare?

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

Which organization bills Medicare for Nancy Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nancy Kelly reassigns Medicare benefits to Jwch Institute, Inc. (Norwalk, CA). 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 Nancy Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nancy Kelly was last updated on July 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.