Doctor profile · Federal record
Dr. Mary Kelley, Nurse Practitioner
Gerontology Nurse Practitioner · Family Nurse Practitioner · Surprise, AZ
- NPI 1164416277
- 21 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
12425 W Bell RD, Suite 200
Surprise, AZ 853789006
(623) 374-7774
fax (623) 240-1110
Credentials & registration
- NPI registered
- September 2005 — 21 yrs on file
- Profile last updated
- July 11, 2011
- Specialty taxonomy
- 363LG0600X — NUCC code
- State licenses (2)
- Arizona #AP0029 · Arizona #AP2547
- Medicaid
- AZ #293709
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1164416277. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$123
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbott Laboratories | 1 | $122.52 |
By nature of payment
Frequently asked questions
What is Dr. Mary Kelley's medical specialty?
Dr. Mary Kelley practices Gerontology Nurse Practitioner in Surprise, AZ.
Where does Dr. Mary Kelley practice?
Dr. Mary Kelley practices at 12425 W Bell RD, Surprise, AZ 853789006. Office phone: 6233747774.
What is Dr. Mary Kelley's NPI?
Dr. Mary Kelley's National Provider Identifier (NPI) is 1164416277, issued by NPPES.