MRS. KELLY LYNN VELASQUEZ PMHNP
NPI 1922726512
Nurse Practitioner - Psychiatric/Mental Health in Southaven, MS

Q: What is Kelly Velasquez's NPI number?

The NPI number for Kelly Velasquez is 1922726512. It was assigned to this individual provider in the NPPES registry on August 18, 2022.

Q: What is Kelly Velasquez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Velasquez was last updated on January 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 August 18, 2022PECOS EnrolledAccepts Medicare Assignment

6858 SWINNEA RD BLDG 3B, SOUTHAVEN, MS 38671(662) 420-2418(855) 529-1633 Get Directions Write a Review

NPPES record last updated: January 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 1, 2025, Aug 18, 2022 (2 updates tracked since 2022).

On this page

About Mrs. Kelly Lynn Velasquez Pmhnp NPPES

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

MRS. KELLY LYNN VELASQUEZ PMHNP (NPI 1922726512) is an individual psychiatric/mental health provider in Southaven, Mississippi, licensed in Mississippi (905496) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1922726512

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. KELLY LYNN VELASQUEZCredential: PMHNP

Location Address6858 SWINNEA RD BLDG 3BSouthaven, MS 38671-9493

Mailing Address1651 Wood Lane DrOlive Branch, MS 38654-7355 · (901) 568-8843

Phone(662) 420-2418

Fax(855) 529-1633

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 18, 2022

Last NPPES UpdateJanuary 1, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 1, 2025

✔ NPI 1922726512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MS · 905496

6858 SWINNEA RD BLDG 3B, Southaven, MS 38671

Open in Google Maps ↗

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. Kelly Lynn Velasquez Pmhnp 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 ID2860847852

PECOS Enrollment IDI20231011002224

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 38671 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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 2

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

KELLY VELASQUEZ PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER, LLC

Nurse Practitioner (Psychiatric/Mental Health)

6858 SWINNEA RD BLDG 3B
SOUTHAVEN, MS 38671

Desoto County (662) 420-2418

TONYA MARIE ANDREWS PLPC, NCC

Counselor (Mental Health)

6858 SWINNEA RD BLDG 3B
SOUTHAVEN, MS 38671

Desoto County (662) 205-0567

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 Kelly Velasquez's NPI number?

The NPI number for Kelly Velasquez is 1922726512. It was assigned to this individual provider in the NPPES registry on August 18, 2022.

Where is Kelly Velasquez located?

Kelly Velasquez practices at 6858 Swinnea Rd Bldg 3B, Southaven, MS 38671. The listed phone number is (662) 420-2418.

What is Kelly Velasquez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kelly Velasquez enrolled in Medicare?

Yes. Kelly Velasquez 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.

When was this NPI record last updated?

The NPPES record for Kelly Velasquez was last updated on January 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.