Wanda Elaine Kelley, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

109125-22 Issued in CO

Practice address

Colorado State University Hartshorn Health Service
8031 Campus Delivery
Fort Collins, CO 80523-0001

Phone

(970) 491-7121

Fax

(970) 491-0268

NPI assigned

Jun 15, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Colorado State University

  • Clinic/Center
  • Fort Collins, CO
  • NPI 1528156437
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1033153804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 HIGH PLAINS CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266501",
            "telephone_number": "970-223-6753",
            "fax_number": "970-266-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COLORADO STATE UNIVERSITY HARTSHORN HEALTH SERVICE",
            "address_2": "8031 CAMPUS DELIVERY",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805230001",
            "telephone_number": "970-491-7121",
            "fax_number": "970-491-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "WANDA",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "63998",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "109125-22",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kelley
• Maria Kelley, NP
• Mark Kelley, N.D., L.AC
• Michaela Kelley, RBT
• Sarah Kelley, RN
• Kelly Counseling Services, LLC
• Halldis Kelly, PHD, LPC
• Joy Kelly
• Kristi Leigh Kelly, M.S., C.C.C, SLP
• McKenzie Rose Kelsay

• All providers in Fort Collins, CO
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.