DUSTIN KELLY FNP-C
NPI 1942987664
Nurse Practitioner - Family in Grenada, MS

Active since July 04, 2023PECOS EnrolledAccepts Medicare Assignment
1117 SUNSET DR STE 101, GRENADA, MS 38901(662) 226-1168 Get Directions Write a Review

NPPES record last updated: July 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dustin Kelly Fnp-c NPPES

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

DUSTIN KELLY FNP-C (NPI 1942987664) is an individual family provider in Grenada, Mississippi, licensed in Mississippi (906082) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with University Of Mississippi Medical Center- Grenada, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1942987664
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDUSTIN KELLYCredential: FNP-C
Location Address1117 SUNSET DR STE 101Grenada, MS 38901-4080
Mailing Address2055 County Road 240Greenwood, MS 38930-6995 · (662) 299-5796
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 4, 2023
NPPES CertifiedJuly 4, 2023
NPI 1942987664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · 906082
Also ListedRegistered NurseTaxonomy 163W00000X · License 899168 (MS)
1117 SUNSET DR STE 101, Grenada, MS 38901

Accepted Insurance

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

Dustin Kelly Fnp-c 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 ID3577919786
PECOS Enrollment IDI20231024003709
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.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
632 services65 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
534 services297 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
206 services48 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
160 services92 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
54 services17 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
47 services47 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Mississippi Medical Center- Grenada

Acute Care Hospitals · Grenada, MS
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number250168
Location960 Avent DriveGrenada, MS 38901 · Grenada County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38901 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.

Nurse Practitioner (Family)
1117 SUNSET DR STE 101
GRENADA, MS 38901
Nurse Practitioner (Family)
1117 SUNSET DR STE 101
GRENADA, MS 38901

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 Dustin Kelly's NPI number?

The NPI number for Dustin Kelly is 1942987664. It was assigned to this individual provider in the NPPES registry on July 4, 2023.

Where is Dustin Kelly located?

Dustin Kelly practices at 1117 Sunset Dr Ste 101, Grenada, MS 38901. The listed phone number is (662) 226-1168.

What is Dustin Kelly's specialty?

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

Is Dustin Kelly enrolled in Medicare?

Yes. Dustin Kelly 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.

What insurance does Dustin Kelly accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Dustin Kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dustin Kelly affiliated with any hospitals?

According to CMS data, Dustin Kelly is affiliated with University Of Mississippi Medical Center- Grenada.

When was this NPI record last updated?

The NPPES record for Dustin Kelly was last updated on July 4, 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.