Shelly Ann Kelly, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

79099 Issued in OK

Practice address

2488 E 81St St Ste 290
Tulsa, OK 74137-4265

Phone

(918) 494-2665

Fax

(918) 927-3193

NPI assigned

Dec 1, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Apex Urgent Care Clinic LLCGroup PAC ID 3971804188, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Apex Urgent Care Clinic LLC

  dba Apex Urgent Care

  • Urgent Care Clinic/Center
  • Katy, TX
  • NPI 1114302551
  Medicare reassignment Care Compare group NPD
• Apex Urgent Care Clinic Eldridge LLC

  dba Apex MD Clinic

  • Family Medicine Physician
  • Houston, TX
  • NPI 1932803210
  Medicare reassignment NPD
• DHHS, PHS, Naihs, Shiprock Hospital

  dba Northern Navajo Medical Center

  • General Acute Care Hospital
  • Shiprock, NM
  • NPI 1780639971

  TX

  Medicare reassignment NPD
• DHHS, PHS, Naihs, Shiprock Hospital

  • General Acute Care Hospital
  • Teec Nos Pos, AZ
  • NPI 1477615789
  NPD
• Texas Home Physicians

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1154704815
  NPD (past)

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1508168238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2488 E 81ST ST STE 290",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374265",
            "telephone_number": "918-927-3226",
            "fax_number": "918-927-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2488 E 81ST ST STE 290",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374265",
            "telephone_number": "918-494-2665",
            "fax_number": "918-927-3193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5100 E Highway 37",
            "address_purpose": "LOCATION",
            "city": "Tuttle",
            "state": "OK",
            "postal_code": "730898581",
            "country_code": "US",
            "telephone_number": "405-381-5111",
            "fax_number": "405-381-5138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "SHELLY",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-01",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "79099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200314980A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Kelly
• Michael Joseph Kelly Jr., PA-C
• Patrick Kelly
• Rita Michele Kelly
• Shannon Kelly, AAPS
• Tayla Kelly, CBD
• Benjamin Franklin Kelm, DC
• Mallory Kelsay, ATC
• Logann Wayne Kelsey, LMSW U/S, CMII, BHWC
• Laurie Lynn Kelso

• Family Nurse Practitioner in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.