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

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: August 02, 2026.

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
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Medicare Participation & PECOS CMS

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

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.

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.

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.