Carolyn Downey Kelly, FNP - Medicare Nurse Practitioner in Saint Louis, MO

Carolyn Downey Kelly, FNP is a medicare enrolled "Nurse Practitioner - Family" in Saint Louis, Missouri. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Metro Infectious Disease Consultants Llc, Southern California Permanente Medical Group and her current practice location is 1 Barnes Jew Hosp Plz, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 362-5980.

Carolyn Downey Kelly is licensed to practice in Missouri (license number 2011026460) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639283286.

Contact Information

Carolyn Downey Kelly, FNP
1 Barnes Jew Hosp Plz,
Saint Louis, MO 63110
(314) 362-5980
Not Available

Map and Direction




Provider's Profile

Full NameCarolyn Downey Kelly
GenderFemale
SpecialityNurse Practitioner
Experience19 Years
Location1 Barnes Jew Hosp Plz, Saint Louis, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carolyn Downey Kelly graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1639283286
  • Provider Enumeration Date: 08/19/2006
  • Last Update Date: 02/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0547268955
  • Enrollment ID: I20061120000216

Medical Identifiers

Medical identifiers for Carolyn Downey Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639283286NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2011026460 (Missouri)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Metro Infectious Disease Consultants Llc3072425784318
Southern California Permanente Medical Group60027291758172

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carolyn Downey Kelly allows following entities to bill medicare on her behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678
Entity NameMark H Mazur Md & Barry Statner Md A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376631341
PECOS PAC ID: 1254373806
Enrollment ID: O20050524001355
Entity NameMetro Infectious Disease Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235125717
PECOS PAC ID: 3072425784
Enrollment ID: O20180423003067

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carolyn Downey Kelly is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carolyn Downey Kelly, FNP
4367 Mcpherson Ave,
Saint Louis, MO 63108-2705

Ph: (314) 362-5980
Carolyn Downey Kelly, FNP
1 Barnes Jew Hosp Plz,
Saint Louis, MO 63110

Ph: (314) 362-5980

Reviews and Comments


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Mrs. Michelle Marie Bloom, ACNP
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.