Michael C Kelly, NP in Olympia, WA - Medicare Nurse Practitioner

Michael C Kelly, NP is a medicare enrolled "Nurse Practitioner" in Olympia, Washington. He graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Western Washington Emergency Physicians Pllc, Olympia Emergency Care Physicians Pllc and his current practice location is 413 Lilly Rd Ne, Olympia, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 491-9480.

Michael C Kelly is licensed to practice in Washington (license number AP30006322) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760425201.

Contact Information

	Michael C Kelly, NP
	413 Lilly Rd Ne, Olympia, WA 98506-5133
	(360) 491-9480
	Not Available

Map and Direction

Provider's Profile

Full Name	Michael C Kelly
Gender	Male
Speciality	Nurse Practitioner
Experience	22 Years
Location	413 Lilly Rd Ne, Olympia, Washington
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Michael C Kelly graduated from nursing school in 2002

NPI Data:

NPI Number: 1760425201
Provider Enumeration Date: 06/13/2006
Last Update Date: 07/06/2021

Medicare PECOS Information:

PECOS PAC ID: 7315839719
Enrollment ID: I20050826000379

Medical Identifiers

Medical identifiers for Michael C Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760425201	NPI	-	NPPES
8906877	Other		WA CRIME VICTIMS
6059KE	Other		REGENCE BS
199382	Other		WA L & I
9635574	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AP30006322 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Multicare Good Samaritan Hospital	Puyallup, WA	Hospital
Capital Medical Center	Olympia, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Western Washington Emergency Physicians Pllc	0749514735	62
Olympia Emergency Care Physicians Pllc	2769862036	30

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. Michael C Kelly allows following entities to bill medicare on his behalf.

Entity Name	Olympia Emergency Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346267796 PECOS PAC ID: 9335035633 Enrollment ID: O20040224000907

Entity Name	Thurston Emergency Group A Professional Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558526756 PECOS PAC ID: 4688740517 Enrollment ID: O20080829000199

Entity Name	Western Washington Emergency Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801352505 PECOS PAC ID: 0749514735 Enrollment ID: O20190625002379

Entity Name	Olympia Emergency Care Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396498671 PECOS PAC ID: 2769862036 Enrollment ID: O20220704000366

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. Michael C 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 Address	Practice Location Address
Michael C Kelly, NP Po Box 5007, Lacey, WA 98509-5007 Ph: (800) 599-0166	Michael C Kelly, NP 413 Lilly Rd Ne, Olympia, WA 98506-5133 Ph: (360) 491-9480

Reviews and Comments

Nurse Practitioner Nurses in Olympia, WA

Karen Yepez, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Lilly Rd Ne Ste 201, Olympia, WA 98506 Phone: 360-413-8272 Fax: 360-413-8878
Ms. Melinda Anne Harris-moulton, MSN, ARNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5201 Dolphin Ln Nw, Olympia, WA 98502 Phone: 360-866-8143
Katelin Petrin, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3434 12th Ave Ne, Olympia, WA 98506 Phone: 360-413-8470 Fax: 360-413-8490
Michelle Jennings Hood, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3920 Capital Mall Dr Sw Ste 400, Olympia, WA 98502 Phone: 360-705-1259
Kimberly E Riano, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2950 Limited Ln Nw, Olympia, WA 98502 Phone: 360-706-2763 Fax: 360-350-0735
Dara S Bernal, AP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3516 7th Ave Sw, Olympia, WA 98502 Phone: 360-489-2906
Madeleine Reed, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 209 Lilly Rd Ne Ste B, Olympia, WA 98506 Phone: 604-138-2503

Michael C Kelly, NP - Medicare Nurse Practitioner in Olympia, WA