Kevin Joseph Kelly, MSN, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

717463 Issued in TX

Practice address

774 State Highway 70 N
Rotan, TX 79546-6918

Phone

(325) 735-2256

Fax

(325) 735-3070

NPI assigned

Nov 5, 2013

Last updated

Oct 4, 2023By the provider in NPPES

Sex

Male

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 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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fisher County Hospital DistrictGroup PAC ID 2163311465, shared by 4 NPIs, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Home Health of West Texas, LLC Home health agency, Snyder, TX, CCN 457656
• Fisher County Hospital District Hospital, Rotan, TX, CCN 451313
• Rolling Plains Memorial Hospital Hospital, Sweetwater, TX, CCN 450055
• Hendrick Medical Center Hospital, Abilene, TX, CCN 450229
• Fisher County Hospital District Nursing home, CCN 45Z313

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kevin.kelly.1@29392.direct.athenahealth.com

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.

• Fisher County Hospital District

  dba Clearfork Health Center

  • Rural Health Clinic/Center
  • Rotan, TX
  • NPI 1104808112
  Medicare reassignment NPD
• Fisher County Hospital District

  • Critical Access Hospital
  • Rotan, TX
  • NPI 1598746703
  Medicare reassignment NPD
• Fisher County Hospital District

  • Land Ambulance
  • Rotan, TX
  • NPI 1497878524
  NPD
• Fisher County Hospital District

  • Emergency Medicine Physician
  • Rotan, TX
  • NPI 1699898726
  NPD

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

• Fisher County Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • Rotan, TX
  • NPI 1306969431

  Nursing home

  Care Compare affiliation
• Fisher County Hospital District

  • Critical Access Hospital
  • Rotan, TX
  • NPI 1598746703
  Care Compare affiliation
• Hendrick Medical Center

  • General Acute Care Hospital
  • Abilene, TX
  • NPI 1528064649
  Care Compare affiliation
• Home Health of West Texas, LLC

  • Home Health Agency
  • Snyder, TX
  • NPI 1841015336
  Care Compare affiliation
• Rolling Plains Memorial Hospital

  • General Acute Care Hospital
  • Sweetwater, TX
  • NPI 1275581852
  Care Compare affiliation

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1376972943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO DRAWER F",
            "city": "ROTAN",
            "state": "TX",
            "postal_code": "79546",
            "telephone_number": "325-735-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 STATE HIGHWAY 70 N",
            "city": "ROTAN",
            "state": "TX",
            "postal_code": "795466918",
            "telephone_number": "325-735-2256",
            "fax_number": "325-735-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KEVIN",
        "middle_name": "JOSEPH",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-05",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "717463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fisher County Hospital District
• Fisher County Hospital District
• Fisher County Hospital District
• Erin French, PHARMD
• Jackie Kelly, APRN
• Joseph Carver Lampley, D.O.
• Celeste Morin, RD, LD
• Cleburne Lloyd Murdoch, RPH
• Melinda Powers, DO
• Roby Rural Health Clinic

• Family Nurse Practitioner in Rotan, TX
• Providers in Rotan, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.