Meghan Rose Kelly, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95016798 Issued in CA

Practice address

4699 Jamboree Rd
Newport Beach, CA 92660-2526

Phone

(949) 764-3713

Fax

(949) 764-5262

NPI assigned

Mar 24, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Central City Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1235283094
  Medicare reassignment NPD
• Hoag Clinic

  • Primary Care Clinic/Center
  • Newport Beach, CA
  • NPI 1942799523
  Medicare reassignment
• Central City Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Upland, CA
  • NPI 1174996318
  NPD
• Central City Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Anaheim, CA
  • NPI 1598386559
  NPD

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1356928568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4699 JAMBOREE RD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602526",
            "telephone_number": "949-764-3713",
            "fax_number": "949-764-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4699 JAMBOREE RD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602526",
            "telephone_number": "949-764-3713",
            "fax_number": "949-764-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MEGHAN",
        "middle_name": "ROSE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Junker DDS Inc
• Kelli Junker DDS Inc
• Sandra Kellum, M.D.
• Kelly Kazmierski, PHD, a Psychology Corporation
• Diane G Kelly, LCSW MSW
• Samantha Bustos Kelly, AUD
• Ruth Kembay
• Adam Rock Kendall, M.D., M.P.H.
• Lois L Kennedy, MA, LMFT
• Kenneth Graves Jr License Marriage and Family Therapist

• Family Nurse Practitioner in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.