Individual provider Active NPI

Grace Kelley

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1487175048
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1132148 Issued in TX
Practice address
319 Congress Ave Ste 100
Austin, TX 78701-3692
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Jul 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 718665-1 NY
Family Nurse Practitioner 363LF0000X 4704335813 MI
Family Nurse Practitioner 363LF0000X 1132148 TX Primary

Addresses

Primary practice location

319 Congress Ave Ste 100
Austin, TX 78701-3692

Mailing address

319 Congress Ave Ste 100
Austin, TX 78701-3692
Phone (888) 663-6331

Other practice location 1

492 1st Ave
New York, NY 10016-9103
Phone (517) 442-2689

Other practice location 2

3300 Washtenaw Ave Ste 280
Ann Arbor, MI 48104-5184
Phone (734) 373-0849

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
I20240206003946 TX Practitioner - Nurse Practitioner 6608121017 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

319 Congress Ave
Suite 100
Austin, TX 78701-3692
Phone (512) 491-1095

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
718665-1NYMDRegistered Nurse
1132148TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Sep 23, 2024 Accepting new patients
Workit Health Mi PLLC CurrentSince Jan 1, 2024 Accepting new patients
One Medical Group of Texas, P.a. CurrentSince Nov 3, 2025 Accepting new patients
Seton Family of Doctors CurrentSince Sep 23, 2024 Accepting new patients

Locations

3300 Washtenaw Ave
Ste 280
Ann Arbor, MI 48104
Phone (734) 329-5419

319 Congress Ave
Austin, TX 78701

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

3001 Palm Way
Ste 134
Austin, TX 78758
Phone (512) 491-1095

1900 Aldrich St
Ste 150
Austin, TX 78723
Phone (512) 491-1095

319 Congress Ave
Ste 100
Austin, TX 78701
Phone (512) 491-1095

5373 W Alabama St
Ste 204
Houston, TX 77056
Phone (281) 569-4289

Interoperability endpoints

  • Direct secure messaging: grace.kelley@597174495543300.direct.elationemr.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1487175048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 CONGRESS AVE STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787013692",
            "telephone_number": "888-663-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 CONGRESS AVE STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787013692",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "492 1st Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100169103",
            "country_code": "US",
            "telephone_number": "517-442-2689",
            "fax_number": "517-442-2689",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Washtenaw Ave Ste 280",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481045184",
            "country_code": "US",
            "telephone_number": "734-373-0849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "718665-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704335813",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1132148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.