Ryan Michael Kelley, PMHNP-BC - Medicare Nurse Practitioner in Thibodaux, LA

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Ryan Michael Kelley, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Thibodaux, Louisiana. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Rodriguez Clinic And Foundation Llc, Deepblue Wellness Llc, Psychological Health Care Of South Louisiana and his current practice location is 126 Rue Colette, Thibodaux, Louisiana. You can reach out to his office (for appointments etc.) via phone at (985) 625-0023.

Ryan Michael Kelley is licensed to practice in Louisiana (license number 214914) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1346855517.

Contact Information

Ryan Michael Kelley, PMHNP-BC
126 Rue Colette,
Thibodaux, LA 70301-5628
(985) 625-0023
(985) 625-0022

Map and Direction




Provider's Profile

Full NameRyan Michael Kelley
GenderMale
SpecialityNurse Practitioner
Experience4 Years
Location126 Rue Colette, Thibodaux, Louisiana
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ryan Michael Kelley graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1346855517
  • Provider Enumeration Date: 09/14/2020
  • Last Update Date: 09/14/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4183044480
  • Enrollment ID: I20201026000500

Medical Identifiers

Medical identifiers for Ryan Michael Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346855517NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 214914 (Louisiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rodriguez Clinic And Foundation Llc34768778874
Deepblue Wellness Llc50920780895
Psychological Health Care Of South Louisiana53959165712

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. Ryan Michael Kelley allows following entities to bill medicare on his behalf.
Entity NamePsychological Health Care Of South Louisiana
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134418502
PECOS PAC ID: 5395916571
Enrollment ID: O20110920000249
Entity NameRodriguez Clinic And Foundation Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609001999
PECOS PAC ID: 3476877887
Enrollment ID: O20150113000688
Entity NameDeepblue Wellness Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518460211
PECOS PAC ID: 5092078089
Enrollment ID: O20180404000293

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. Ryan Michael 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
Ryan Michael Kelley, PMHNP-BC
126 Rue Colette,
Thibodaux, LA 70301-5628

Ph: (985) 625-0023		Ryan Michael Kelley, PMHNP-BC
126 Rue Colette,
Thibodaux, LA 70301-5628

Ph: (985) 625-0023

Reviews and Comments


Nurse Practitioner Nurses in Thibodaux, LA

Rebecca Ann Melancon, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 602 N Acadia Rd, Thibodaux, LA 70301
Phone: 985-447-5500    
Mrs. Emily Rivet Landry, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1320 Martin Luther King Dr, Thibodaux, LA 70301
Phone: 985-446-2021    Fax: 985-446-1546
Candice Eschete,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 602 N Acadia Rd, Thibodaux, LA 70301
Phone: 985-493-4727    
Champ Phuphanich, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 305 E 1st St, Thibodaux, LA 70301
Phone: 985-228-6028    
Ashley Ann Dufrene, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 126 Rue Colette, Thibodaux, LA 70301
Phone: 985-625-0023    
Nicholas S Fuglaar, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2031 Audubon Ave, Thibodaux, LA 70301
Phone: 985-803-8383    
Ms. Sandra Lee Brommeland Gonzalez, APRN-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1101 Audubon Ave, Thibodaux, LA 70301
Phone: 985-857-3615    Fax: 941-295-7336

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.