MS. SHARON KAY KELLY (N.P.) – Family Nurse Practitioner, NPI 1790774057

MS. SHARON KAY KELLY (N.P.) is a healthcare provider. based in Los angeles, California. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. NPF9993 (CA). The NPI Number for MS. SHARON KAY KELLY (N.P.) is 1790774057

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
MS. SHARON KAY KELLY (N.P.)
NPI
1790774057
Phone
(213) 483-1800
Address
2010 WILSHIRE BLVD
Enumeration Date
19 October 2005
Last Update Date
7 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8183659531
Graduation Year
1998 (28 years ago)
PAC ID
3779991526
Group Practice PAC ID
3173436276
Professional Enrollment ID
I20210416000957
Address ID
CA913451116MI11333BLVD300

Contacts

Secure Messaging
skelly1629881@oc.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

16,360 NURSE PRACTITIONER in CA

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Provider Addresses for MS. SHARON KAY KELLY (N.P.)

  • 2010, Wilshire Boulevard, Westlake South, Westlake, Los Angeles, Los Angeles County, California, 90057, United States

    LOS ANGELES, CA 900573507

    Phone: (213) 483-1800

    Fax: (213) 483-1494

    Type: Location

  • 2825, Butler Avenue, Westdale, Sawtelle, Los Angeles, Los Angeles County, California, 90064, United States

    LOS ANGELES, CA 900643807

    Phone: (310) 924-4789

    Type: Mailing

  • FILE 50670

    LOS ANGELES, CA 900740670

    Phone: (888) 227-3312

    Type: Mailing

  • 3201 W 6TH ST

    LOS ANGELES, CA 900205001

    Phone: (888) 227-3312

    Type: Location

  • 6245 Busch Dr

    Malibu, CA 902653834

    Phone: (310) 457-1495

    Type: Location

  • 2825 Butler Ave

    Los Angeles, CA 900643807

    Phone: (310) 924-4789

    Type: Location

  • 2010 Wilshire Blvd

    Los Angeles, CA 900573507

    Phone: (213) 483-1800

    Fax: (213) 483-1494

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-04-16

PECOS data refreshed: 2026-06-15

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
I20210416000957INurse PractitionerCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes4343$0
99214Established patient office or other outpatient visit, 30-39 minutes1815$0
87637Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus1616$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 90057)

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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: 3173436276View full group profile
NameSpecialtyState
-CA
Registered Dietitian Or Nutrition ProfessionalCA
-CA
Emergency MedicineCA
-CA
-CA
Family PracticeCA
Family PracticeCA
Physician AssistantCA
Family PracticeCA

Reviews

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Frequently asked questions

What unique ID ties claims to MS. SHARON KAY KELLY (N.P.)?
NPI 1790774057 is assigned to MS. SHARON KAY KELLY (N.P.) under the national enumeration system.
Is MS. SHARON KAY KELLY (N.P.)'s NPI currently valid?
The extract we use shows MS. SHARON KAY KELLY (N.P.) as active.
What field does MS. SHARON KAY KELLY (N.P.) work in?
You can think of MS. SHARON KAY KELLY (N.P.) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MS. SHARON KAY KELLY (N.P.)'s primary listing?
We display Los Angeles, California because that is what the record indicates for MS. SHARON KAY KELLY (N.P.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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