KARY ANNE KELLY (NP-PP) – Family Nurse Practitioner, NPI 1356795504

KARY ANNE KELLY (NP-PP) is a healthcare provider. based in Medford, Oregon. specializing in Family Nurse Practitioner. They hold the professional credentials NP-PP. They hold a License No. 201701664NP-PP (OR). The NPI Number for KARY ANNE KELLY (NP-PP) is 1356795504

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KARY ANNE KELLY (NP-PP)
NPI
1356795504
Phone
(541) 858-1003
Address
3860 CRATER LAKE AVE
Enumeration Date
13 April 2016
Last Update Date
13 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5418581003
Graduation Year
2015 (11 years ago)
PAC ID
0042500035
Group Practice PAC ID
1355449141
Professional Enrollment ID
I20170425002385
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:10State licenses:2Digital endpointsOther names

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Provider Addresses for KARY ANNE KELLY (NP-PP)

  • 3860, Crater Lake Avenue, Medford, Jackson County, Oregon, 97504, United States

    MEDFORD, OR 975049741

    Phone: (541) 858-1003

    Fax: (541) 857-4499

    Mailing address matches the actual address.

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 97504)

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Provider's Procedures

KARY ANNE KELLY (NP-PP) performs procedures in Family Nurse Practitioner. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONEROR81002Urinalysis, manual test3024

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: 1355449141View full group profile
NameSpecialtyState
Allergy/Immunology, Internal MedicineOR
Nurse PractitionerOR
A L L E R G Y/ I M M U N O L O G YOR
Physician AssistantNM
Internal Medicine, Pediatric Medicine, Allergy/ImmunologyOR
Allergy/Immunology, Internal MedicineOR
-OR

Reviews

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Frequently asked questions

How do payers reference KARY ANNE KELLY (NP-PP)?
For KARY ANNE KELLY (NP-PP), use NPI 1356795504 as the unique 10-digit identifier.
Is there an active status for KARY ANNE KELLY (NP-PP)?
For scheduling context, KARY ANNE KELLY (NP-PP) is shown as active in the registry.
What kind of doctor is KARY ANNE KELLY (NP-PP)?
KARY ANNE KELLY (NP-PP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with KARY ANNE KELLY (NP-PP)?
Directory geography for KARY ANNE KELLY (NP-PP) centers on Medford, Oregon.
What does 2 location(s) imply?
2 practice locations appear in the available data.