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

Larry Wayne Kelly Jr., PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1487319869

Larry Wayne Kelly Jr., PMHNP is a Nurse Practitioner in Fairbanks, Alaska. Qualified in 2021, 5 years ago. Practices with Anchorage Community Mental Health Services Inc, a 40-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Alaska.

Years since qualifying
5
Licensed in
AK
In the registry since
2021
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1423 Peger Rd
Fairbanks, AK 99709-5169
Phone: (907) 371-1300
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 183314 (AK)

Record details

NPI number1487319869
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedNovember 1, 2021
Last updated in NPPESNovember 1, 2021
Certification dateJune 4, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Anchorage Community Mental Health Services Inc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fairbanks