Individual provider Active NPI

Richanne L Kelley, APRN, CWCN, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1225626278
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1030294 Issued in TX
Practice address
17070 Red Oak Dr Ste 409
Houston, TX 77090-2617
Phone
(281) 207-0461
NPI assigned
Jan 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X 887647 TX
Family Nurse Practitioner 363LF0000X 1030294 TX Primary

Addresses

Primary practice location

17070 Red Oak Dr Ste 409
Houston, TX 77090-2617

Mailing address

17070 Red Oak Dr Ste 409
Houston, TX 77090-2617
Phone (281) 207-0461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210325000326 TX Practitioner - Nurse Practitioner 3072920784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solutions Medical Group PLLCGroup PAC ID 5890940118, 3 clinicians

Practice addresses (Care Compare)

18550 Interstate 45 S
Health South Rehab Hospital
Shenandoah, TX 77384-4119
Phone (281) 364-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
887647TXMDWound Care Registered Nurse
1030294TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Solutions Medical Group PLLC CurrentSince Jul 21, 2021 Accepting new patients
The Wound Care NP, LLC Family Current Accepting new patients
Strategic Medical Imaging, PLLC Past Accepting new patients

Locations

17070 Red Oak Dr
Ste 409
Houston, TX 77090
Phone (281) 207-0461

18839 McKay Dr
Humble, TX 77338
Phone (281) 446-3655

18550 Interstate 45 S
Shenandoah, TX 77384
Phone (281) 364-2000

117 Vision Park Blvd
Shenandoah, TX 77384
Phone (281) 298-7441

25329 Budde Rd
Ste 201202
Spring, TX 77380

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1225626278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17070 RED OAK DR STE 409",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902617",
            "telephone_number": "281-207-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17070 RED OAK DR STE 409",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902617",
            "telephone_number": "281-207-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "RICHANNE",
        "middle_name": "L",
        "credential": "APRN, CWCN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "TX",
            "license": "887647",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1030294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.