Ms Traci L Kelly, RN, FNP - Nurse Practitioner in Phoenix, AZ

Ms Traci L Kelly, RN, FNP is a Nurse Practitioner - Family based in Phoenix, Arizona. Ms Traci L Kelly is licensed to practice in Arizona (license number RN0604) and her current practice location is 349 E Coronado Rd, Phoenix, Arizona. She can be reached at her office (for appointments etc.) via phone at (602) 266-5678.

NPI number for Ms Traci L Kelly is 1912958232 and her current mailing address is 3707 N 7th St, #305, Phoenix, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912958232.

Contact Information

Ms Traci L Kelly, RN, FNP
349 E Coronado Rd,
Phoenix, AZ 85004-1525
(602) 266-5678
(602) 264-5646

Map and Direction




Provider's Profile

Full NameMs Traci L Kelly
GenderFemale
SpecialityNurse Practitioner - Family
Location349 E Coronado Rd, Phoenix, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1912958232
  • Provider Enumeration Date: 05/12/2006
  • Last Update Date: 05/21/2008

Medical Identifiers

Medical identifiers for Ms Traci L Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912958232NPI-NPPES
120390OtherAZGROUP MEDICARE NUMBER
317047OtherAZGROUP MEDICAID NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN0604 (Arizona)Primary

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. Ms Traci L Kelly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Traci L Kelly, RN, FNP
3707 N 7th St, #305,
Phoenix, AZ 85014-5059

Ph: (602) 264-9100
Ms Traci L Kelly, RN, FNP
349 E Coronado Rd,
Phoenix, AZ 85004-1525

Ph: (602) 266-5678

Reviews and Comments


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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.

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