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

Michael C Kelly, NP

Individual provider Nurse Practitioner · NPI 1760425201

Michael C Kelly, NP is a Nurse Practitioner in Olympia, Washington. Qualified in 2002, 24 years ago. Practices with Western Washington Emergency Physicians PLLC, a 78-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
24
Licensed in
WA
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

413 Lilly Rd NE
Olympia, WA 98506-5133
Phone: (360) 491-9480
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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 AP30006322 (WA)

Record details

NPI number1760425201
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 13, 2006
Last updated in NPPESJuly 6, 2021
Certification dateJuly 6, 2021
Mailing addressPo Box 5007, Lacey, WA 98509-5007

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Western Washington Emergency Physicians Pllc — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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