MRS. SUSAN ELIZABETH KELLY FNP
NPI 1992265003
Nurse Practitioner - Family in Mooresburg, TN

Q: What is Susan Kelly's NPI number?

The NPI number for Susan Kelly is 1992265003. It was assigned to this individual provider in the NPPES registry on March 24, 2019.

Q: What is Susan 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 Susan Kelly was last updated on March 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 24, 2019PECOS Enrolled

239 CLIFFORD PRICE LOOP, MOORESBURG, TN 37811(423) 754-9648 Get Directions Write a Review

NPPES record last updated: March 24, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Mrs. Susan Elizabeth Kelly Fnp NPPES

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

MRS. SUSAN ELIZABETH KELLY FNP (NPI 1992265003) is an individual family provider in Mooresburg, Tennessee, licensed in Tennessee (APRN0000025532) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992265003

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. SUSAN ELIZABETH KELLYCredential: FNP

Location Address239 CLIFFORD PRICE LOOPMooresburg, TN 37811-2337

Mailing Address239 Clifford Price LoopMooresburg, TN 37811-2337 · (423) 754-9648

Phone(423) 754-9648

Sole ProprietorNo

Enumeration DateMarch 24, 2019

✔ NPI 1992265003 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 TN · APRN0000025532

239 CLIFFORD PRICE LOOP, Mooresburg, TN 37811

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Susan Elizabeth Kelly 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.

Medicare Billing Reassignments

Medicare enrollment records show Susan Kelly reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Omega Medical And Aesthetics PLLC

Same address

Family

239 CLIFFORD PRICE LOOP
Mooresburg, TN 37811

Reassigned Medicare billing, Tennessee enrollment

NPI 1578447181 (978) 906-0418

Evolution Medical And Aesthetics PLLC

7.6 mi

Clinic/Center

3815 TN-66, SUITE 1
Rogersville, TN 37857

Reassigned Medicare billing, Tennessee enrollment

NPI 1578394995 (423) 817-3542

Instacare PLLC

15 mi

Urgent Care

1532 W ANDREW JOHNSON HWY
Morristown, TN 37814

Reassigned Medicare billing, Tennessee enrollment
13 clinicians in this Medicare group

NPI 1275146045 (423) 616-0705

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

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.

33 services22 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37811 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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

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

OMEGA MEDICAL AND AESTHETICS PLLC

Nurse Practitioner (Family)

239 CLIFFORD PRICE LOOP
MOORESBURG, TN 37811

Hawkins County (978) 906-0418

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 Susan Kelly's NPI number?

The NPI number for Susan Kelly is 1992265003. It was assigned to this individual provider in the NPPES registry on March 24, 2019.

Where is Susan Kelly located?

Susan Kelly practices at 239 Clifford Price Loop, Mooresburg, TN 37811. The listed phone number is (423) 754-9648.

What is Susan Kelly's specialty?

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

Is Susan Kelly enrolled in Medicare?

Yes. Susan Kelly is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Susan Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Kelly reassigns Medicare benefits to 3 organizations: Omega Medical And Aesthetics PLLC (Mooresburg, TN), Evolution Medical And Aesthetics PLLC (Rogersville, TN) and Instacare PLLC (Morristown, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Kelly accept?

Health plans from Cigna Healthcare list Susan 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.

When was this NPI record last updated?

The NPPES record for Susan Kelly was last updated on March 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.