KRYSTLE KELLY NP
NPI 1861020612
Nurse Practitioner - Family in Greensboro, NC

Q: What is Krystle Kelly's NPI number?

The NPI number for Krystle Kelly is 1861020612. It was assigned to this individual provider in the NPPES registry on March 28, 2020.

Q: What is Krystle Kelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Krystle Kelly was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 28, 2020PECOS Enrolled

3803 N ELM ST, GREENSBORO, NC 27455(336) 941-1123(844) 237-5916 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2023, Mar 28, 2020 (2 updates tracked since 2020).

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About Krystle Kelly Np NPPES

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

KRYSTLE KELLY NP (NPI 1861020612) is an individual family provider in Greensboro, North Carolina, licensed in North Carolina (246966) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861020612

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKRYSTLE KELLYCredential: NP

Location Address3803 N ELM STGreensboro, NC 27455-2593

Mailing Address3803 N Elm StGreensboro, NC 27455-2593 · (336) 941-1123 · Fax (844) 237-5916

Phone(336) 941-1123

Fax(844) 237-5916

Sole ProprietorNo

Enumeration DateMarch 28, 2020

Last NPPES UpdateMay 19, 20232 updates tracked since enumeration

NPPES CertifiedMay 19, 2023

✔ NPI 1861020612 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 NC · 246966

3803 N ELM ST, Greensboro, NC 27455

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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)

Krystle Kelly Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27455 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

STACEY S. TUXBURY C.N.P.

Registered Nurse