KELLY UPSON DNP
NPI 1861168296
Nurse Practitioner in Council Bluffs, IA

Q: What is Kelly Upson's NPI number?

The NPI number for Kelly Upson is 1861168296. It was assigned to this individual provider in the NPPES registry on August 17, 2021.

Q: What is Kelly Upson'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 Kelly Upson was last updated on March 15, 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 August 17, 2021

1750 W BROADWAY, COUNCIL BLUFFS, IA 51501(712) 215-6588(712) 322-9585 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 15, 2023, Aug 17, 2021 (2 updates tracked since 2021).

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About Kelly Upson Dnp NPPES

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

KELLY UPSON DNP (NPI 1861168296) is an individual nurse practitioner in Council Bluffs, Iowa, licensed in Iowa (A164619) and active in the NPI registry since August 2021. She maintains a secondary practice location in Omaha.

NPPES Registry Identity

NPI1861168296

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKELLY UPSONCredential: DNP

Location Address1750 W BROADWAYCouncil Bluffs, IA 51501-3814

Mailing Address1750 W BroadwayCouncil Bluffs, IA 51501-3814 · (712) 215-6588 · Fax (712) 322-9585

Phone(712) 215-6588

Fax(712) 322-9585

Sole ProprietorNo

Enumeration DateAugust 17, 2021

Last NPPES UpdateMarch 15, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 26, 2022

✔ NPI 1861168296 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 IA · A164619

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.

1750 W BROADWAY, Council Bluffs, IA 51501

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Secondary Practice Location 1

Location 17500 Mercy RdOmaha, NE 68124-2319 · Phone (402) 398-6060

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.

MISS JESSE NICOLE ZUERN LPN

Licensed Practical Nurse