Brian Ismael Kelly, NP - Medicare Nurse Practitioner in Stockton, CA

Brian Ismael Kelly, NP is a medicare enrolled "Nurse Practitioner" in Stockton, California. He went to University Of South Alabama College Of Medicine and graduated in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Trinity Emergency Physicians and his current practice location is 525 W Acacia St, Stockton, California. You can reach out to his office (for appointments etc.) via phone at (209) 944-5550.

Brian Ismael Kelly is licensed to practice in California (license number 95184031) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407649957.

Contact Information

Brian Ismael Kelly, NP
525 W Acacia St,
Stockton, CA 95203-2405
(209) 944-5550
Not Available

Map and Direction




Provider's Profile

Full NameBrian Ismael Kelly
GenderMale
SpecialityNurse Practitioner
Experience1 Years
Location525 W Acacia St, Stockton, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brian Ismael Kelly attended and graduated from University Of South Alabama College Of Medicine in 2025
  NPI Data:
  • NPI Number: 1407649957
  • Provider Enumeration Date: 05/27/2025
  • Last Update Date: 07/26/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3779085196
  • Enrollment ID: I20250905000774

Medical Identifiers

Medical identifiers for Brian Ismael Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407649957NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC0200XRegistered Nurse - Critical Care Medicine 95184031 (California)Secondary
363L00000XNurse Practitioner 95184031 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Trinity Emergency Physicians428417116648

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. Brian Ismael 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 AddressPractice Location Address
Brian Ismael Kelly, NP
6701 Shorewood Ln,
Stockton, CA 95219-7004

Ph: (925) 300-5917
Brian Ismael Kelly, NP
525 W Acacia St,
Stockton, CA 95203-2405

Ph: (209) 944-5550

Reviews and Comments


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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.