Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carolyn Downey Kelly, FNP

Individual provider Family Nurse Practitioner · NPI 1639283286

Carolyn Downey Kelly, FNP is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2005, 21 years ago. Practices with Mark H Mazur MD and Barry Statner MD a Professional Corporation, a 15-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
21
Licensed in
MO
In the registry since
2006
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1 Barnes Jew Hosp Plz
Saint Louis, MO 63110
Phone: (314) 362-5980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2011026460 (MO)

Record details

NPI number1639283286
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 19, 2006
Last updated in NPPESFebruary 16, 2022
Certification dateFebruary 16, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Mark H Mazur Md And Barry Statner Md A Professional Corporation — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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