MS. KELLEY JEAN PRUITT CNS, FNP
NPI 1871737254
Nurse Practitioner - Family in Iowa Park, TX

Q: What is Kelley Pruitt's NPI number?

The NPI number for Kelley Pruitt is 1871737254. It was assigned to this individual provider in the NPPES registry on April 29, 2009.

Q: What is Kelley Pruitt'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 Kelley Pruitt was last updated on March 17, 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.

Active since April 29, 2009PECOS Enrolled

97.58/100

CMS Quality Rating

405 SE ACCESS RD, IOWA PARK, TX 76367(940) 592-3500(940) 592-4342 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2026, Dec 11, 2025, Dec 20, 2017 and 1 more (4 updates tracked since 2016).

On this page

About Ms. Kelley Jean Pruitt Cns, Fnp NPPES

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

MS. KELLEY JEAN PRUITT CNS, FNP (NPI 1871737254) is an individual family provider in Iowa Park, Texas, licensed in Texas (602154) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871737254

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. KELLEY JEAN PRUITTCredential: CNS, FNP

Location Address405 SE ACCESS RDIowa Park, TX 76367-6985

Mailing AddressPo Box 1112Electra, TX 76360-1112 · (940) 495-3981 · Fax (940) 432-3450

Phone(940) 592-3500

Fax(940) 592-4342

Sole ProprietorYes

Enumeration DateApril 29, 2009

Last NPPES UpdateMarch 17, 20264 updates tracked since enumeration

NPPES CertifiedMarch 17, 2026

✔ NPI 1871737254 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 TX · 602154

405 SE ACCESS RD, Iowa Park, TX 76367

Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kelley Jean Pruitt Cns, 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76367 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 7

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers19 claims19 services$46.05 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier17 claims17 services$17.58 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers32 claims32 services$3.21 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers40 claims40 services$90.47 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers23 claims23 services$33.09 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers13 claims13 services$24.64 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Heidi ***** January 28, 2024

5/5

Very caring & listens to my problems. Cares about me. Easy to get a hold of. Very Friendly Staff.

Provider 5/5 Office Staff 5/5

Visited this provider? Share your experience.

Other Providers at the Same Location NPPES 5

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

JAMES P DOHERTY DO

Family Medicine