Michael C Kelly

NP | Nurse Practitioner | 23+ years Exp

413 Lilly Rd Ne, Olympia
  Washington, 98506-5133
360-491-9480
Accepts Medicare Nurse Anesthetist in Olympia, Washington.
Michael C Kelly is a Olympia, Washington based nurse practitioner with 23 years of experience in . He completed his graduation in 2002. and . He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Michael C Kelly is AP30006322 in Washington. His current practice location is 413 Lilly Rd Ne, Olympia. Patients can reach him at 360-491-9480. Michael C Kelly is NP and his NPI number (Unique professional ID assigned by NPPES) is 1760425201.
Michael C Kelly has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Michael C Kelly speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Michael C Kelly
Specialization: Nurse Practitioner (NP)
Gender:Male
Credentials: NP
Experience: 23+ years
Medical School Attended:Other
Graduation Year:2002
Accepts Medicare Assignment:Yes
Practice Address:413 Lilly Rd Ne, Olympia,
Washington, 98506-5133
Phone:360-491-9480
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 7315839719
Enrollment ID: I20050826000379
NPI Number: 1760425201
NPI Enumeration Date: 13 Jun, 2006
NPI Last Update On: 06 Jul, 2021

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael C Kelly are as mentioned below.
License NumberSpecializationStateStatus
AP30006322 WashingtonPrimary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(500079)Puyallup, WAAcute Care Hospital
(500139)Olympia, WAAcute Care Hospital
(500024)Olympia, WAAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Michael C Kelly is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Thurston Emergency Group A Professional Llc (4688740517)16
Western Washington Emergency Physicians Pllc (0749514735)50
Other Medical Identifiers:
Other legacy medical identifiers associated with Michael C Kelly such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
8906877OtherWA CRIME VICTIMS
6059KEOtherREGENCE BS
199382OtherWA L & I
9635574MedicaidWashington
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Michael C Kelly
Po Box 5007,
Lacey, Washington
Zip: 98509-5007
Phone Number: 800-599-0166
Patients can reach Michael C Kelly at 413 Lilly Rd Ne, Olympia, Washington or can call to book an appointment on 360-491-9480.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.