KELLY NICOLE SLY (FNP) – Family Nurse Practitioner, NPI 1023498045

KELLY NICOLE SLY (FNP) is a healthcare provider. based in Memphis, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. A004410 (AR). The NPI Number for KELLY NICOLE SLY (FNP) is 1023498045

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KELLY NICOLE SLY (FNP)
NPI
1023498045
Phone
(901) 730-4204
Address
3444 PLAZA AVE
Enumeration Date
4 June 2015
Last Update Date
7 April 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9012716300
Graduation Year
2015 (11 years ago)
PAC ID
2163735721
Group Practice PAC ID
3870402084
Professional Enrollment ID
I20150725012601
Address ID
TN381092944ME3362XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for KELLY NICOLE SLY (FNP)

  • 3444 PLAZA AVE

    MEMPHIS, TN 381114614

    Phone: (901) 730-4204

    Type: Location

  • 2620 ELM HILL PIKE

    NASHVILLE, TN 372143108

    Phone: (615) 425-4200

    Type: Mailing

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: 2015-07-25

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
I20150725012601INurse PractitionerTNTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1818$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza1212$0
View full utilization report →

Insurance plans in this area (ZIP 38111)

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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: 3870402084View full group profile
NameSpecialtyState
Family PracticeTN
-TN
-TN
Registered Dietitian Or Nutrition ProfessionalTN
Nurse PractitionerMS
-TN
O B S T E T R I C S/ G Y N E C O L O G YTN
Internal MedicineTN
-TN
Nurse PractitionerMS

Reviews

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Frequently asked questions

Can I verify KELLY NICOLE SLY (FNP) with an NPI only?
You can start verification with NPI 1023498045 for KELLY NICOLE SLY (FNP), then check state licensing separately.
Does CMS list KELLY NICOLE SLY (FNP) as active?
Yes — KELLY NICOLE SLY (FNP) is active in the NPI listing used on this page.
What is KELLY NICOLE SLY (FNP) best known for clinically?
Directory data describes KELLY NICOLE SLY (FNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does KELLY NICOLE SLY (FNP) serve?
KELLY NICOLE SLY (FNP)'s listing highlights Memphis, Tennessee; more addresses can appear in NPPES.
Is the information about KELLY NICOLE SLY (FNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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