Stacey Rachelle Kelly, FNP in Lubbock, TX - Medicare Nurse Practitioner

Stacey Rachelle Kelly, FNP is a medicare enrolled "Nurse Practitioner - Family" in Lubbock, Texas. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Innovative Infusions Llc and her current practice location is 3506 21st St 507, Lubbock, Texas. You can reach out to her office (for appointments etc.) via phone at (806) 725-4800.

Stacey Rachelle Kelly is licensed to practice in Texas (license number AP143497) 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 1205478021.

Contact Information

	Stacey Rachelle Kelly, FNP
	3506 21st St 507, Lubbock, TX 79410-1105
	(806) 725-4800
	Not Available

Map and Direction

Provider's Profile

Full Name	Stacey Rachelle Kelly
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	3506 21st St 507, Lubbock, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stacey Rachelle Kelly graduated from nursing school in 2019

NPI Data:

NPI Number: 1205478021
Provider Enumeration Date: 10/14/2019
Last Update Date: 10/14/2019

Medicare PECOS Information:

PECOS PAC ID: 2567896749
Enrollment ID: I20191220001616

Medical Identifiers

Medical identifiers for Stacey Rachelle Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205478021	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP143497 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Covenant Medical Center	Lubbock, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Innovative Infusions Llc	6608054044	89

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. Stacey Rachelle Kelly allows following entities to bill medicare on her behalf.

Entity Name	Lubbock County Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508855578 PECOS PAC ID: 4284617507 Enrollment ID: O20040609000242

Entity Name	Innovative Infusions Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811299944 PECOS PAC ID: 6608054044 Enrollment ID: O20110707000108

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. Stacey Rachelle 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
Stacey Rachelle Kelly, FNP 2215 Nashville Avenue, Lubbock, TX 79410-1106 Ph: (806) 725-5844	Stacey Rachelle Kelly, FNP 3506 21st St 507, Lubbock, TX 79410-1105 Ph: (806) 725-4800

Reviews and Comments

Nurse Practitioner Nurses in Lubbock, TX

Kelli Chari Tyler Hayes, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7008 Indiana Ave, Ste A, Lubbock, TX 79413 Phone: 806-698-8088 Fax: 806-698-8588
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Emily Flathouse, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7501 Quaker Ave Fl 1, Lubbock, TX 79424 Phone: 806-788-3306 Fax: 806-772-3861
Malory Shanks, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6104 Avenue Q South Dr, Lubbock, TX 79412 Phone: 806-472-3400
Mrs. Jessica D Ann Sisneros, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3506 21st St Ste 507, Lubbock, TX 79410 Phone: 806-725-4805 Fax: 806-723-4815
Renee Naomi Livesay, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8504 Kenosha Dr, Lubbock, TX 79423 Phone: 806-773-5880

Stacey Rachelle Kelly, FNP - Medicare Nurse Practitioner in Lubbock, TX