ZONDRIAN KELLY
NPI 1992675011
Nurse Practitioner - Family in Shreveport, LA

Q: What is Zondrian Kelly's NPI number?

The NPI number for Zondrian Kelly is 1992675011. It was assigned to this individual provider in the NPPES registry on November 5, 2025.

Q: What is Zondrian 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 Zondrian Kelly was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 November 05, 2025PECOS EnrolledAccepts Medicare Assignment

1541 KINGS HWY, SHREVEPORT, LA 71103(318) 626-1080(318) 698-5039 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 13, 2026, Nov 5, 2025 (2 updates tracked since 2025).

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About Zondrian Kelly NPPES

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

ZONDRIAN KELLY (NPI 1992675011) is an individual family provider in Shreveport, Louisiana, licensed in Louisiana (240950) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1992675011

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameZONDRIAN KELLY

Location Address1541 KINGS HWYShreveport, LA 71103-4228

Mailing Address1501 Kings HwyShreveport, LA 71103-4228 · (318) 626-2471 · Fax (318) 399-6169

Phone(318) 626-1080

Fax(318) 698-5039

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateNovember 5, 2025

Last NPPES UpdateApril 13, 20262 updates tracked since enumeration

NPPES CertifiedApril 13, 2026

✔ NPI 1992675011 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 LA · 240950

1541 KINGS HWY, Shreveport, LA 71103

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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 and accepts Medicare assignment

Zondrian Kelly 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 ID1850884305

PECOS Enrollment IDI20251203001228

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 71103 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

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

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 20

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

PRATIK AGRAWAL

Internal Medicine (Cardiovascular Disease)