TAMMY ROSE KELLY (M.D.) – Obstetrics & Gynecology Physician, NPI 1710986997

TAMMY ROSE KELLY (M.D.) is a healthcare provider. based in Reno, Nevada. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 9040 (NV). The NPI Number for TAMMY ROSE KELLY (M.D.) is 1710986997

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
TAMMY ROSE KELLY (M.D.)
NPI
1710986997
Phone
(775) 982-5262
Address
1155 MILL ST # MSM14
Enumeration Date
19 July 2005
Last Update Date
21 February 2024

Doctor Profile

Medical School Name
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1996 (30 years ago)
PAC ID
9537072046
Group Practice PAC ID
8729992318
Professional Enrollment ID
I20250812004145
Address ID
IA506138155CE5100XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,037 OBSTETRICS/GYNECOLOGY in WA

Provider Addresses for TAMMY ROSE KELLY (M.D.)

  • 1155 MILL ST # MSM14

    RENO, NV 895021576

    Phone: (775) 982-5262

    Fax: (775) 982-3900

    Type: Mailing

  • 4465 CORDATA PKWY STE 102

    BELLINGHAM, WA 982268037

    Phone: (360) 752-5280

    Fax: (360) 752-5282

    Type: Location

  • West Sunset Road, Paradise, Clark County, Nevada, 89119-4016, United States

    STE 602

    LAS VEGAS, NV 891484858

    Phone: (702) 255-3547

    Fax: (702) 921-2419

    Type: Mailing

  • North Durango Drive, Centennial Hills, Las Vegas, Clark County, Nevada, 89149, United States

    STE 310

    LAS VEGAS, NV 891494595

    Phone: (702) 255-3547

    Fax: (702) 921-2419

    Type: Location

  • 901 E 2nd St Ste 300

    Reno, NV 895021175

    Phone: (775) 982-5000

    Fax: (775) 982-3901

    Type: Location

  • 901 E 2ND ST STE 300

    RENO, NV 895021175

    Phone: (775) 982-5000

    Fax: (775) 982-3901

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-02-13 • Largest payer in this snapshot: Boston Scientific Corporation ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-13

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: 2025-08-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240429001490IObstetrics/GynecologyMNTBD
I20250812004145IObstetrics/GynecologyIATBD

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 89502)

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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: 8729992318View full group profile

Reviews

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Frequently asked questions

Is there an official ID for TAMMY ROSE KELLY (M.D.) in U.S. healthcare records?
The official identifier for TAMMY ROSE KELLY (M.D.) is NPI 1710986997.
Is TAMMY ROSE KELLY (M.D.) shown as active in public data?
Registry records indicate TAMMY ROSE KELLY (M.D.) maintains an active NPI.
What expertise is attributed to TAMMY ROSE KELLY (M.D.)?
TAMMY ROSE KELLY (M.D.)'s specialty line reads Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where in Nevada is TAMMY ROSE KELLY (M.D.) registered?
Use Reno, Nevada as the headline location for TAMMY ROSE KELLY (M.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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