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MARILYN LOUISE KELLY FNP NPI 1417518614


NPI Information

NPI: 1417518614
Provider Name: MARILYN LOUISE KELLY, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1300 FORT PIERPONT DR STE 101
MORGANTOWN, WV
ZIP 26508
Phone: (304) 241-7150
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Marilyn Louise Kelly, FNP is a family nurse practitioner in Morgantown, WV with 5 years of experience. Marilyn Louise Kelly, FNP NPI is 1417518614. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2019

The provider's business location address is:

1300 FORT PIERPONT DR STE 101
MORGANTOWN, WV
ZIP 26508-314
Phone: (304) 241-7150
Fax: (304) 599-8917

The NPI 1417518614 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Automated urinalysis test (HCPCS:81003)
  • X-ray of chest, 2 views (HCPCS:71046)

The enumeration date for this NPI number is 6/27/2019 and was last updated on 10/4/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered Nurse94648WEST VIRGINIANo
2363LF0000XNurse PractitionerFamilyAPRN103976FNPWEST VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.