NPIMap

Individual provider Active NPI

Jacob Patrick Kelly, MD

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Anchorage, AK
National Provider Identifier
1851551949
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Heart Failure and Transplant Cardiology PhysicianTaxonomy code 207RA0001X
License
119045 Issued in AK
Practice address
3841 Piper St Ste T100
Anchorage, AK 99508-4674
Phone
(907) 561-3211
NPI assigned
Jun 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 119045 AK
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X 119045 AK Primary

Addresses

Primary practice location

3841 Piper St Ste T100
Anchorage, AK 99508-4674

Mailing address

3841 Piper St Ste T100
Anchorage, AK 99508-4674
Phone (907) 561-3211

Other identifiers 2

IdentifierTypeStateIssuer
1668479MedicaidAK
1851551949MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC, AK3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110727000595 TX Practitioner - Internal MedicinePractitioner - Advanced Heart Failure and Transplant Cardiology 2567630015 Reassigns benefits to 1 organization
I20121023000583 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2567630015 Reassigns benefits to 1 organization
I20170725002881 AK Practitioner - Advanced Heart Failure and Transplant CardiologyPractitioner - Cardiovascular Disease (Cardiology) 2567630015 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Advanced Heart Failure and Transplant CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Health and Services WashingtonGroup PAC ID 5799675120, 32 clinicians
Providence Health and Services WashingtonGroup PAC ID 2163335746, 32 clinicians
Alaska Heart InstituteGroup PAC ID 2668371469, 58 clinicians

Practice addresses (Care Compare)

1915 E Rezanof Dr
Kodiak, AK 99615-6602
Phone (907) 486-3281

3200 Providence Dr
Anchorage, AK 99508-4615
Phone (907) 562-2211

3841 Piper St
Suite T100
Anchorage, AK 99508-4674
Phone (907) 561-3211

Hospital & facility affiliations

  • Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001
  • Alaska Regional Hospital Hospital, Anchorage, AK, CCN 020017
  • Central Peninsula General Hospital Hospital, Soldotna, AK, CCN 020024
  • Providence Kodiak Island Medical Ctr Hospital, Kodiak, AK, CCN 021306
  • Providence Seward Hospital Hospital, Seward, AK, CCN 021302

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
91.39
Promoting interoperability
95
Improvement activities
40
Cost
100

Merit-based Incentive Payment System (MIPS)

Final score
88.88 of 100Reported as apm
Quality
71.03
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
70.59 of 100Reported as group
Quality
83.37
Promoting interoperability
100
Improvement activities
40
Cost
16.65

Merit-based Incentive Payment System (MIPS)

Final score
76.58 of 100Reported as group
Quality
74.05
Improvement activities
40
Cost
56.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
119045AKMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington Current Accepting new patients
Providence Health & Services Washington CurrentSince Jul 26, 2017 Accepting new patients
Providence Health & Services Washington CurrentSince Sep 1, 2019 Accepting new patients
Providence Health & Services - Washington Cardiovascular Disease CurrentSince Sep 1, 2019 Accepting new patients
Alaska Heart Institute CurrentSince Aug 1, 2017 Accepting new patients
Moses Cone Physician Services, Inc. Internal Medicine Current Accepting new patients
Moses Cone Physician Services, Inc. CurrentSince Sep 26, 2012 Accepting new patients
South Peninsula Hospital, Inc. Internal Medicine CurrentSince May 2, 2018 Accepting new patients
Alaska Heart Institute Cardiovascular Disease CurrentSince Aug 1, 2017 Accepting new patients
South Peninsula Hospital, Inc Cardiovascular Disease CurrentSince May 2, 2018 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Sep 26, 2012 Accepting new patients
Providence Health & Services Washington Past Accepting new patients

Locations

3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111

3841 Piper St
Ste T100
Anchorage, AK 99508
Phone (907) 550-2233

2751 Debarr Rd
Ste B200
Anchorage, AK 99508

4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369

1915 E Rezanof Dr
Kodiak, AK 99615
Phone (907) 486-3281

2490 S Woodworth Loop
Ste 250
Palmer, AK 99645
Phone (907) 861-6700

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700

Interoperability endpoints

  • Direct secure messaging: jacob.kelly@387891020693508.direct.elationemr.com

Organizations & group practices 14

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 14

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1851551949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 PIPER ST STE T100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084674",
            "telephone_number": "907-561-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 PIPER ST STE T100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084674",
            "telephone_number": "907-561-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JACOB",
        "middle_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AK",
            "license": "119045",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "AK",
            "license": "119045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1668479",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851551949",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.