Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Emily Katherine Kelly, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1639711625

Emily Katherine Kelly, AGACNP-BC is a Nurse Practitioner in Stanford, California. Qualified in 2018, 8 years ago. Practices with University Anesthesia Medical Group, a 404-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Pennsylvania.

Years since qualifying
8
Licensed in
CA, PA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 505 Parnassus Ave, San Francisco, CA 94143-2204 — (415) 353-1888

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95013070 (CA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence SP020358 (PA)

Record details

NPI number1639711625
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedOctober 11, 2019
Last updated in NPPESMay 19, 2021
Certification dateMay 19, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice University Anesthesia Medical Group — 404 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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