KATHERINE KELLY (FNP-C) – Nurse Practitioner, NPI 1316290646

KATHERINE KELLY (FNP-C) is a healthcare provider. based in Anchorage, Alaska. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 125191 (AK). The NPI Number for KATHERINE KELLY (FNP-C) is 1316290646

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE KELLY (FNP-C)
NPI
1316290646
Phone
(907) 561-2211
Address
PO BOX 200149
Enumeration Date
24 October 2012
Last Update Date
5 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9075613211
Graduation Year
2012 (14 years ago)
PAC ID
8729203526
Group Practice PAC ID
2668371469
Professional Enrollment ID
I20170906004013
Address ID
AK995084674AN3841XSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

761 NURSE PRACTITIONER in AK

Provider Addresses for KATHERINE KELLY (FNP-C)

  • PO BOX 200149

    ANCHORAGE, AK 995200149

    Phone: (907) 561-2211

    Type: Mailing

  • 3841 PIPER ST STE T100

    ANCHORAGE, AK 99508

    Phone: (907) 561-3211

    Type: Location

  • 414 E Main St

    3rd Floor

    Durham, NC 277013720

    Phone: (919) 698-4676

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $304.

Total Amount is formed as General ($304) + Research ($0) + Ownership ($0) = $304.

Last reported payment date: 2024-10-01 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($184).

Total Amount

$304

General + Research + Ownership

Payments

9

Total payment records

General Amount

$304

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-09-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170906004013INurse PractitionerAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99520)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668371469View full group profile
NameSpecialtyState
-AK
Nurse PractitionerWA
-AK
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyAK
Nurse PractitionerAK
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)AK
Nurse PractitionerAK
Cardiovascular Disease (Cardiology)AK
-AK
Cardiovascular Disease (Cardiology), Internal MedicineAK

Reviews

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Frequently asked questions

Is KATHERINE KELLY (FNP-C) listed with a National Provider Identifier?
Yes — KATHERINE KELLY (FNP-C) has NPI 1316290646 on file in the registry.
Active or inactive — what applies to KATHERINE KELLY (FNP-C)?
You should see KATHERINE KELLY (FNP-C) as active in CMS-hosted NPPES data.
What area of care is associated with KATHERINE KELLY (FNP-C)?
KATHERINE KELLY (FNP-C)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Alaska is KATHERINE KELLY (FNP-C) registered?
Use Anchorage, Alaska as the headline location for KATHERINE KELLY (FNP-C) here.
Does KATHERINE KELLY (FNP-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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