Individual provider Active NPI

Kelly Michael Lawrence, MD

  • Hospitalist Physician
  • Reno, NV
National Provider Identifier
1396041679
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
17990 Issued in NV
Practice address
235 W 6TH St
Reno, NV 89503
Phone
(775) 770-6490
Fax
(775) 770-3944
NPI assigned
Feb 2, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.120908 OH
Internal Medicine Physician 207R00000X 17990 NV
Internal Medicine Physician 207R00000X 84718 SC
Internal Medicine Physician 207R00000X 04-45853 KS
Hospitalist Physician 208M00000X MD60615589 WA
Hospitalist Physician 208M00000X 84718 SC
Hospitalist Physician 208M00000X 04-45853 KS
Hospitalist Physician 208M00000X 17990 NV Primary

Addresses

Primary practice location

235 W 6TH St
Reno, NV 89503

Mailing address

4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600
Phone (702) 653-3800

Other practice location 1

1155 Mill St
Reno, NV 89502-1576
Phone (775) 982-7878

Other practice location 2

4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone (702) 653-3800

Other practice location 3

101 W 8th Ave
Spokane, WA 99204-2307
Phone (509) 474-6661

Other practice location 4

14 Richland Medical Park Dr Ste 320
Columbia, SC 29203-6896
Phone (803) 434-6771

Other practice location 5

5330 S Highway 95
Fort Mohave, AZ 86426-9225
Phone (928) 788-2273

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address klawrence896316@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NM, IN, AZ, OK, MI, TX, ME, MS, IA10 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
I20150824002271 OH Practitioner - Internal Medicine 4082859459 Reassigns benefits to 2 organizations
I20170310000096 NM Practitioner - Internal Medicine 4082859459 Reassigns benefits to 4 organizations
I20181023000960 IN Practitioner - Internal Medicine 4082859459 Reassigns benefits to 2 organizations
I20240912004083 AZ Practitioner - Internal Medicine 4082859459 Reassigns benefits to 1 organization
I20241127003829 OK Practitioner - Internal Medicine 4082859459 Reassigns benefits to 1 organization
I20241218003363 MI Practitioner - Internal Medicine 4082859459 Reassigns benefits to 2 organizations
I20250113001678 TX Practitioner - Internal Medicine 4082859459 Reassigns benefits to 1 organization
I20250312003228 ME Practitioner - Internal Medicine 4082859459 Reassigns benefits to 1 organization
I20250625003815 MS Practitioner - Internal Medicine 4082859459 Reassigns benefits to 1 organization
I20260310000817 IA Practitioner - Internal Medicine 4082859459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Health SystemGroup PAC ID 6103829338, 262 clinicians
Ess Hospitalist LLCGroup PAC ID 6103085295, 19 clinicians
Covenant Medical Center, Inc.Group PAC ID 2769387778, 488 clinicians
Hospitalist Medicine Physicians of Texas PLLCGroup PAC ID 3476688318, 685 clinicians
Hattiesburg HB Medical Services LLCGroup PAC ID 6507220167, 27 clinicians

Practice addresses (Care Compare)

1227 E Rusholme St
Davenport, IA 52803-2459

1313 E 32ND St
Silver City, NM 88061-7251
Phone (575) 538-4000

1447 N Harrison St
Hospitalist and Critical Care
Saginaw, MI 48602-4727
Phone (989) 583-4220

4700 E 56TH St
Davenport, IA 52807-2904

4900 N Lovington Hwy
Hobbs, NM 88240-9109
Phone (575) 492-5000

5001 Hardy St
Hattiesburg, MS 39402-1308
Phone (601) 286-2090

Hospital & facility affiliations

  • Gila Regional Medical Center Hospital, Silver City, NM, CCN 321311
  • Covenant Health Hobbs Hospital Hospital, Hobbs, NM, CCN 320065
  • Merit Health Wesley Hospital, Hattiesburg, MS, CCN 250094
  • Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033
  • Covenant Medical Center Hospital, Saginaw, MI, CCN 230070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-45853KSMDInternal Medicine Physician
84718SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc Internal Medicine CurrentSince Dec 16, 2024 Accepting new patients
Holland Community Hospital CurrentSince Mar 21, 2025 Accepting new patients
Eastern Maine Medical Center CurrentSince Jan 6, 2025 Accepting new patients
Apogee Medical Group Inc Internal Medicine CurrentSince Jul 29, 2024 Accepting new patients
Sound Physicians of Indiana, LLC Internal Medicine CurrentSince Sep 11, 2018 Accepting new patients
Holland Community Hospital Internal Medicine CurrentSince Mar 21, 2025 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients
Apogee Medical Group Inc Internal Medicine CurrentSince Jul 29, 2024 Accepting new patients
Saint Marys Urgent Care LLC Current Accepting new patients
Usacs Observation Medicine Services of Oklahoma, LLC CurrentSince Nov 20, 2024 Accepting new patients
Nes Arizona Inc CurrentSince Jun 30, 2024 Accepting new patients
Usacs Integrated Acute Care Services of Texas, PLLC Internal Medicine CurrentSince Nov 9, 2024 Accepting new patients
Gila Regional Medical Center CurrentSince Sep 25, 2024 Accepting new patients
Covenant Medical Center, Inc. Internal Medicine CurrentSince Dec 16, 2024 Accepting new patients
Hattiesburg HB Medical Services LLC Hospitalist CurrentSince Jun 17, 2025 Accepting new patients
Genesis Health System CurrentSince Jan 28, 2026 Accepting new patients
Sound Physicians of Indiana, LLC Internal Medicine CurrentSince Sep 11, 2018 Accepting new patients
Hospitalist Medicine Physicians of Indiana, LLC Internal Medicine CurrentSince Sep 11, 2018 Accepting new patients
Mvhe Inc Internal Medicine CurrentSince Sep 14, 2016 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Genesis Health System Internal Medicine CurrentSince Jan 28, 2026 Accepting new patients
Holland Community Hospital Current Accepting new patients
Usacs Integrated Acute Care Services of Ohio, LLC Internal Medicine CurrentSince Jul 4, 2023 Accepting new patients
Mvhe Inc Internal Medicine CurrentSince Sep 14, 2016 Accepting new patients
Eastern Maine Medical Center CurrentSince Jan 6, 2025 Accepting new patients
Ess Hospitalist LLC Hospitalist CurrentSince Sep 10, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Covenant Hospital Hobbs Past Accepting new patients

Locations

5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

1801 W Olympic Blvd
#1461
Pasadena, CA 91199

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

489 State St
Bangor, ME 04401
Phone (207) 973-8837

602 Michigan Ave
Holland, MI 49423
Phone (616) 394-3350

700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

5001 Hardy St
Hattiesburg, MS 39402
Phone (601) 268-8000

2430 W Pierce St
Carlsbad, NM 88220
Phone (505) 887-4100

405 W Country Club Rd
Roswell, NM 88201
Phone (505) 622-8170

1313 E 32nd St
Silver City, NM 88061
Phone (505) 537-4953

4535 Dressler Rd NW
Canton, OH 44718
Phone (330) 994-4409

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323

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

Interoperability endpoints

  • Direct secure messaging: klawrence134432@direct.renown.org
  • Direct secure messaging: kelly.lawrence.p1@direct.smmg.nextgenshare.com
  • Direct secure messaging: kce3346@yourcarecommunity.org
  • Direct secure messaging: kelawrence@unionhealth.cernerdirect.com
  • Direct secure messaging: klawrence171261@direct.covenanthealthcare.com
  • Direct secure messaging: klawrence896316@wm.providencedirect.org
  • FHIR API: https://api.platform.athenahealth.com/12922/brand/1/csg/1/fhir/r4

Organizations & group practices 29

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.

View all 29

Hospital & facility affiliations 5

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": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1396041679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 LAS VEGAS BLVD N",
            "city": "NELLIS AFB",
            "state": "NV",
            "postal_code": "891916600",
            "telephone_number": "702-653-3800",
            "fax_number": "702-653-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W 6TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89503",
            "telephone_number": "775-770-6490",
            "fax_number": "775-770-3944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 Mill St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895021576",
            "country_code": "US",
            "telephone_number": "775-982-7878",
            "fax_number": "775-982-4196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Las Vegas Blvd N",
            "address_purpose": "LOCATION",
            "city": "Nellis AFB",
            "state": "NV",
            "postal_code": "891916600",
            "country_code": "US",
            "telephone_number": "702-653-3800",
            "fax_number": "702-653-3253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 W 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042307",
            "country_code": "US",
            "telephone_number": "509-474-6661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 Richland Medical Park Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036896",
            "country_code": "US",
            "telephone_number": "803-434-6771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5330 S Highway 95",
            "address_purpose": "LOCATION",
            "city": "Fort Mohave",
            "state": "AZ",
            "postal_code": "864269225",
            "country_code": "US",
            "telephone_number": "928-788-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "KELLY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-02",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.120908",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "17990",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "84718",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-45853",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "MD60615589",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SC",
            "license": "84718",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KS",
            "license": "04-45853",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NV",
            "license": "17990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "klawrence896316@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "101 W 8th Ave",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992042307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.