Kaylee Nichole Kelley, FNP is a medicare enrolled "Nurse Practitioner - Family" in Firestone, Colorado. She went to Jefferson Medical College Of Thomas Jefferson University and graduated in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Poudre Valley Medical Group Llc and her current practice location is
5965 Firestone Blvd Bldg B, Firestone, Colorado. You can reach out to her office (for appointments etc.) via phone at
(720) 652-7055.
Kaylee Nichole Kelley is licensed to practice in Colorado (license number APN.0997356-NP) 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 1295338150.
Provider's Profile
| Full Name | Kaylee Nichole Kelley |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 5965 Firestone Blvd Bldg B, Firestone, Colorado |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kaylee Nichole Kelley attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 2020
NPI Data:
- NPI Number: 1295338150
- Provider Enumeration Date: 11/20/2020
- Last Update Date: 04/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 5991119240
- Enrollment ID: I20221123001668
Medical Identifiers
Medical identifiers for Kaylee Nichole Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295338150 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | RN.1676466 (Colorado) | Secondary |
| 363L00000X | Nurse Practitioner | APN.0997356-NP (Colorado) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | SP022812 (Pennsylvania) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APN.0997356-NP (Colorado) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Poudre Valley Medical Group Llc | 9638208549 | 1607 |
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. Kaylee Nichole Kelley allows following entities to bill medicare on her behalf.
| Entity Name | Poudre Valley Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366763260
PECOS PAC ID: 9638208549
Enrollment ID: O20100602000122 |
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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. Kaylee Nichole Kelley 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 Address | Practice Location Address |
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Kaylee Nichole Kelley, FNP
5965 Firestone Blvd Bldg B,
Firestone, CO 80504-6607
Ph: (720) 652-7055 | Kaylee Nichole Kelley, FNP
5965 Firestone Blvd Bldg B,
Firestone, CO 80504-6607
Ph: (720) 652-7055 |
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