KELLEY D ELLIS (RNFA, CNOR) – Medical-Surgical Registered Nurse, NPI 1073622858

KELLEY D ELLIS (RNFA, CNOR) is a healthcare provider. based in Fort worth, Texas. specializing in Medical-Surgical Registered Nurse. They hold the professional credentials RNFA, CNOR. They hold a License No. 551667 (TX). The NPI Number for KELLEY D ELLIS (RNFA, CNOR) is 1073622858

Main info

Female
Name
KELLEY D ELLIS (RNFA, CNOR)
NPI
1073622858
Phone
(817) 878-5333
Address
1900 MISTLETOE BLVD STE 200
Enumeration Date
29 August 2006
Last Update Date
4 February 2019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for KELLEY D ELLIS (RNFA, CNOR)

  • Mistletoe Boulevard, Fort Worth, Tarrant County, Texas, 76110, United States

    FORT WORTH, TX 761044049

    Phone: (817) 878-5333

    Fax: (817) 878-5334

    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.

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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 76104)

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Reviews

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Frequently asked questions

Is KELLEY D ELLIS (RNFA, CNOR) listed with a National Provider Identifier?
Yes — KELLEY D ELLIS (RNFA, CNOR) has NPI 1073622858 on file in the registry.
Is KELLEY D ELLIS (RNFA, CNOR) still an active registrant?
KELLEY D ELLIS (RNFA, CNOR) carries an active NPI according to the public dataset.
What expertise is attributed to KELLEY D ELLIS (RNFA, CNOR)?
KELLEY D ELLIS (RNFA, CNOR)'s specialty line reads Medical-Surgical Registered Nurse. Clinical services aligned with this taxonomy classification.
Is KELLEY D ELLIS (RNFA, CNOR) located near Fort Worth?
KELLEY D ELLIS (RNFA, CNOR) currently maps to Fort Worth, Texas in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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