KELLY MELISSA BOCK (NP-C) – Family Nurse Practitioner, NPI 1205121548

KELLY MELISSA BOCK (NP-C) is a healthcare provider. based in Bridge city, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 670013 (TX). The NPI Number for KELLY MELISSA BOCK (NP-C) is 1205121548

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
KELLY MELISSA BOCK (NP-C)
NPI
1205121548
Phone
(409) 735-7305
Address
615 W ROUND BUNCH RD
Enumeration Date
15 June 2011
Last Update Date
15 November 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4093444466
Graduation Year
2011 (15 years ago)
PAC ID
9133377179
Group Practice PAC ID
6305875923
Professional Enrollment ID
I20120917000100
Address ID
TX776274145NE1132XAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for KELLY MELISSA BOCK (NP-C)

  • 615 W ROUND BUNCH RD

    BRIDGE CITY, TX 776112434

    Phone: (409) 735-7305

    Fax: (409) 735-3371

    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)

CMS reports 3 Open Payments records for all available years, with a total value of $52.

Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.

Last reported payment date: 2023-10-05 • Largest payer in this snapshot: Lundbeck LLC ($20).

Total Amount

$52

General + Research + Ownership

Payments

3

Total payment records

General Amount

$52

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-05

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: 2012-09-17

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
I20120917000100INurse PractitionerTXTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,09084$0
99213Established patient office or other outpatient visit, 20-29 minutes21993$0
99214Established patient office or other outpatient visit, 30-39 minutes12355$0
J0696Injection, ceftriaxone sodium, per 250 mg8215$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes4848$0
View full utilization report →

Insurance plans in this area (ZIP 77611)

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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: 6305875923View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Pediatric Medicine, Internal MedicineTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

How do I look up KELLY MELISSA BOCK (NP-C) by NPI?
Use NPI 1205121548 when you need to reference KELLY MELISSA BOCK (NP-C) in forms, claims, or directories.
Is KELLY MELISSA BOCK (NP-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize KELLY MELISSA BOCK (NP-C)'s specialty in plain language?
Clinically, the directory lists KELLY MELISSA BOCK (NP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is KELLY MELISSA BOCK (NP-C)'s primary listing?
We display Bridge City, Texas because that is what the record indicates for KELLY MELISSA BOCK (NP-C).
Is KELLY MELISSA BOCK (NP-C) a real provider?
This page reflects official NPPES data for NPI 1205121548. Always confirm identity and privileges with the practice and licensing boards.

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