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

Miss. Kelly Renee Grogan, NP

Individual provider Family Nurse Practitioner · NPI 1881752038

Miss. Kelly Renee Grogan, NP is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2003, 23 years ago. Accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
23
Licensed in
AZ
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

1910 E Thomas Rd Ste 200
Phoenix, AZ 85016-7767
Phone: (602) 266-2200
Fax: (602) 604-6134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN066578 (AZ)

Record details

NPI number1881752038
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedDecember 4, 2006
Last updated in NPPESOctober 21, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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