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

Keith Michael Kelley, APRN-RNP, FNP-C

Individual provider Registered Nurse · NPI 1689467003

Keith Michael Kelley, APRN-RNP, FNP-C is a Nurse Practitioner in Chandler, Arizona. Qualified in 2025, 1 year ago. Practices with Banner Physician Specialists Arizona LLC, a 372-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2025
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

2048 N Woodburne Pl
Chandler, AZ 85224-1179
Phone: (480) 292-1140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 327863 (AZ)
Registered Nurse Taxonomy 163W00000X · Licence RN196998 (AZ)

Record details

NPI number1689467003
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN-RNP , FNP-C
Sole proprietorYes
NPI enumeratedMay 28, 2025
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Banner Physician Specialists Arizona Llc — 372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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