KEVIN JOSEPH KELLY (MSN, APRN, FNP-C) – Family Nurse Practitioner, NPI 1376972943

KEVIN JOSEPH KELLY (MSN, APRN, FNP-C) is a healthcare provider. based in Roby, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, APRN, FNP-C. They hold a License No. 717463 (TX). The NPI Number for KEVIN JOSEPH KELLY (MSN, APRN, FNP-C) is 1376972943

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN JOSEPH KELLY (MSN, APRN, FNP-C)
NPI
1376972943
Phone
(325) 776-2500
Address
PO BOX 66
Enumeration Date
5 November 2013
Last Update Date
4 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3257352256
Graduation Year
2013 (13 years ago)
PAC ID
7618190737
Group Practice PAC ID
2163311465
Professional Enrollment ID
I20140519000848
Address ID
TX795466918RO774XXNXXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for KEVIN JOSEPH KELLY (MSN, APRN, FNP-C)

  • PO BOX 66

    ROBY, TX 795430066

    Phone: (325) 776-2500

    Type: Mailing

  • 117 E NORTH 1ST ST

    ROBY, TX 795432354

    Phone: (325) 776-2500

    Fax: (325) 776-2355

    Type: Location

  • PO DRAWER F

    ROTAN, TX 79546

    Phone: (325) 735-2256

    Type: Mailing

  • 774 STATE HIGHWAY 70 N

    ROTAN, TX 795466918

    Phone: (325) 735-2256

    Fax: (325) 735-3070

    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 $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-04-27 • Largest payer in this snapshot: ABBVIE INC. ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$13
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: 2014-05-19

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
I20140519000848INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79543)

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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: 2163311465View full group profile
NameSpecialtyState
Diagnostic RadiologyTX
Family PracticeTX
Physician AssistantTX
Nurse PractitionerTX
Diagnostic RadiologyHI
Physician AssistantTX
-ME
Nurse PractitionerTX
Diagnostic RadiologyTX
Physician AssistantTX

Reviews

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Frequently asked questions

What federal number belongs to KEVIN JOSEPH KELLY (MSN, APRN, FNP-C)?
The federal identifier for KEVIN JOSEPH KELLY (MSN, APRN, FNP-C) is NPI 1376972943.
Is KEVIN JOSEPH KELLY (MSN, APRN, FNP-C) currently active in the NPI registry?
CMS-published data lists KEVIN JOSEPH KELLY (MSN, APRN, FNP-C) as an active registrant.
What does KEVIN JOSEPH KELLY (MSN, APRN, FNP-C) treat or focus on?
Patients typically see KEVIN JOSEPH KELLY (MSN, APRN, FNP-C) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does KEVIN JOSEPH KELLY (MSN, APRN, FNP-C) practice in Texas?
You will see Roby, Texas on file for KEVIN JOSEPH KELLY (MSN, APRN, FNP-C) alongside any extra practice locations.
What if Roby, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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