Mrs Kimberly Marie Kelley, FNP - Medicare Nurse Practitioner in Durham, NC

Mrs Kimberly Marie Kelley, FNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Durham, North Carolina. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Avance Care Pa and her current practice location is 4705 University Dr Bldg 700, Durham, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 237-1337.

Mrs Kimberly Marie Kelley is licensed to practice in North Carolina (license number 5015121) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1750052155.

Contact Information

Mrs Kimberly Marie Kelley, FNP
4705 University Dr Bldg 700,
Durham, NC 27707-3489
(919) 237-1337
(919) 237-1625

Map and Direction




Provider's Profile

Full NameMrs Kimberly Marie Kelley
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location4705 University Dr Bldg 700, Durham, North Carolina
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Kimberly Marie Kelley graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1750052155
  • Provider Enumeration Date: 09/24/2021
  • Last Update Date: 08/29/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7810385598
  • Enrollment ID: I20211029000442

Medical Identifiers

Medical identifiers for Mrs Kimberly Marie Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750052155NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 5015121 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Avance Care Pa3577634476228

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. Mrs Kimberly Marie Kelley allows following entities to bill medicare on her behalf.
Entity NameAvance Care Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487845020
PECOS PAC ID: 3577634476
Enrollment ID: O20080620000196
Entity NameEventus Wholehealth Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548759392
PECOS PAC ID: 6002169539
Enrollment ID: O20181030001281
Entity NameEventus Value Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013680503
PECOS PAC ID: 1254736986
Enrollment ID: O20210818003793

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. Mrs Kimberly Marie 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 AddressPractice Location Address
Mrs Kimberly Marie Kelley, FNP
101 Cabarrus Ave E Ste 200,
Concord, NC 28025-3781

Ph: () -
Mrs Kimberly Marie Kelley, FNP
4705 University Dr Bldg 700,
Durham, NC 27707-3489

Ph: (919) 237-1337

Reviews and Comments


Nurse Practitioner Nurses in Durham, NC

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Practice Location: 1415 Nc-54 Suite 105, Durham, NC 27707
Phone: 919-275-1405    

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.