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

Mitchell Grayson Kelly, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1134696453

Mitchell Grayson Kelly, AGACNP is a Nurse Practitioner in Dallas, Texas. Qualified in 2017, 9 years ago. Practices with University of Texas Southwestern Medical Center at Dallas, a 3,149-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2018
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Practice location Address checks out

5323 Harry Hines Blvd Mailcode 8590
Dallas, TX 75390-0001
Phone: (214) 645-2621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence AP138687 (TX)

Record details

NPI number1134696453
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedOctober 24, 2018
Last updated in NPPESOctober 24, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice University Of Texas Southwestern Medical Center At Dallas — 3149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dallas