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

Mrs Kimberly Marie Kelley, FNP is a medicare enrolled "Family Medicine - Adult Medicine" physician in Durham, North Carolina. She graduated from medical 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, Eventus Wholehealth Pllc 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 F06210571) 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

Physician's Profile

Full Name	Mrs Kimberly Marie Kelley
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	4705 University Dr Bldg 700, Durham, North Carolina
Accepts Medicare Assignments	May 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 medical school in 2021

NPI Data:

NPI Number: 1750052155
Provider Enumeration Date: 09/24/2021
Last Update Date: 07/20/2023

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.

Identifier	Type	State	Issuer
1750052155	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QA0505X	Family Medicine - Adult Medicine	F06210571 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Liberty Home Care	Dunn, NC	Home health agency
Kindred At Home	Pink hill, NC	Home health agency

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Avance Care Pa	3577634476	208
Eventus Wholehealth Pllc	6002169539	242

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 Name	Avance Care Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487845020 PECOS PAC ID: 3577634476 Enrollment ID: O20080620000196

Entity Name	Eventus Wholehealth Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548759392 PECOS PAC ID: 6002169539 Enrollment ID: O20181030001281

Entity Name	Eventus Value Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice 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

Family Medicine Doctors in Durham, NC

Dr. Kimberly Hawblitzel Yarnall, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 815 Broad St, Durham, NC 27705 Phone: 919-684-8111
Dr. Martha Jane Parah, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5017 Friends School Rd, Durham, NC 27705 Phone: 919-383-6828 Fax: 919-383-7219
Dr. Andrea Gilroy, DPM Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713 Phone: 919-932-5700 Fax: 919-933-6881
Alexandra Victoria Aglieco, APRN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 249 E Nc Highway 54 Ste 320, Durham, NC 27713 Phone: 919-907-3334
Almaz Smith, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2100 Erwin Rd, Durham, NC 27710 Phone: 919-620-4467
William Purdy, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2100 Erwin Rd, Durham, NC 27710 Phone: 919-620-4467
Laura Cone Gay, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7011 Fayetteville Rd Ste 200, Durham, NC 27713 Phone: 919-361-2644 Fax: 919-484-0849

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