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

Ian Kelly

Individual provider Nurse Practitioner · NPI 1467254482

Ian Kelly is a Nurse Practitioner in Portsmouth, Rhode Island. Qualified in 2024, 2 years ago. Practices with Southcoast Physicians Group Inc, a 872-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
2
Licensed in
RI
In the registry since
2025

Practice location Address checks out

193 Newport Beach Dr
Portsmouth, RI 02871-1987
Phone: (401) 786-4851
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN04423 (RI)

Record details

NPI number1467254482
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 27, 2025
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025
Mailing address193 Newport Beach Dr, Portsmouth, RI 02871-1987

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Southcoast Physicians Group Inc — 872 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Portsmouth