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RYAN KELLY MD
NPI 1992507289
Student in an Organized Health Care Education/Training Program in Boone, NC

Active since March 26, 2025PECOS Enrolled
148 HIGHWAY 105 EXT STE 102, BOONE, NC 28607(828) 386-2222 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ryan Kelly Md NPPES

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

RYAN KELLY MD (NPI 1992507289) is an individual student in an organized health care education/training program in Boone, North Carolina and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992507289
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRYAN KELLYCredential: MD
Location Address148 HIGHWAY 105 EXT STE 102Boone, NC 28607-5682
Mailing Address148 Highway 105 Ext Ste 102Boone, NC 28607-5682
Phone(828) 386-2222
Sole ProprietorNo
Enumeration DateMarch 26, 2025
NPPES CertifiedMarch 26, 2025
✔ NPI 1992507289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
148 HIGHWAY 105 EXT STE 102, Boone, NC 28607
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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)

Ryan Kelly Md 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.

Other Providers at the Same Location NPPES 6

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

EMILY SARAH HUFFMAN DO
Student in an Organized Health Care Education/Training Program
148 HIGHWAY 105 EXT STE 102
BOONE, NC 28607
Watauga County (828) 386-2222
KELLY NEWTON DO
Student in an Organized Health Care Education/Training Program
148 HIGHWAY 105 EXT STE 102
BOONE, NC 28607
Watauga County (828) 262-4100
EMILY MOORE DO
Student in an Organized Health Care Education/Training Program
148 HIGHWAY 105 EXT STE 102
BOONE, NC 28607
Watauga County (828) 262-4100
ROBERT J BROWN
Student in an Organized Health Care Education/Training Program
148 HIGHWAY 105 EXT STE 102
BOONE, NC 28607
Watauga County (828) 386-2222
CAITLIN WINGLER MD
Student in an Organized Health Care Education/Training Program
148 HIGHWAY 105 EXT STE 102
BOONE, NC 28607
Watauga County (828) 386-2222
APPALACHIAN REGIONAL MEDICAL ASSOCIATES INC
Family Medicine
148 HIGHWAY 105 EXT STE 102
BOONE, NC 28607
Watauga County (828) 262-4133

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 Ryan Kelly's NPI number?

The NPI number for Ryan Kelly is 1992507289. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Where is Ryan Kelly located?

Ryan Kelly practices at 148 Highway 105 Ext Ste 102, Boone, NC 28607. The listed phone number is (828) 386-2222.

What is Ryan Kelly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ryan Kelly enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ryan Kelly was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.