Individual provider Active NPI

Kelli Kelley, DNP-FNP-C

  • Family Medicine Physician
  • Lenoir, NC
National Provider Identifier
1376115873
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
KELL-9IQPN Issued in NC
Practice address
602 Morganton Blvd SW
Lenoir, NC 28645-5823
Phone
(828) 850-7094
Fax
(833) 449-4125
NPI assigned
Jul 14, 2021
Last updated
Jul 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X KELL-9IQPN NC Primary

Addresses

Primary practice location

602 Morganton Blvd SW
Lenoir, NC 28645-5823

Mailing address

602 Morganton Blvd SW
Lenoir, NC 28645-5823
Phone (828) 239-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220105002886 NC Practitioner - Nurse Practitioner 7214328012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family 1St Healthcare Associates PLLCGroup PAC ID 0345631149, 7 clinicians

Practice addresses (Care Compare)

602 Morganton Blvd SW
Lenoir, NC 28645-5823
Phone (828) 239-9400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
KELL-9IQPNNCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family 1St Healthcare Associates PLLC Family Medicine CurrentSince Nov 1, 2021 Accepting new patients

Locations

50 13th Ave NE
Hickory, NC 28601
Phone (828) 345-5885

602 Morganton Blvd SW
Lenoir, NC 28645
Phone (828) 239-9400

Interoperability endpoints

  • Direct secure messaging: kelli.kelley.1@29571.direct.athenahealth.com
  • Direct secure messaging: kelli.kelley@357044934934532.direct.elationemr.com

Organizations & group practices 1

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

Hospital & facility affiliations 3

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": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1376115873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 MORGANTON BLVD SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455823",
            "telephone_number": "828-239-9400",
            "fax_number": "833-449-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 MORGANTON BLVD SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455823",
            "telephone_number": "828-850-7094",
            "fax_number": "833-449-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "KELLI",
        "name_prefix": "Dr.",
        "credential": "DNP-FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "KELL-9IQPN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

Verify at the official NPI Registry.