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

Individual provider Family Nurse Practitioner · NPI 1205478021

Stacey Rachelle Kelly, FNP is a Nurse Practitioner in Lubbock, Texas. Qualified in 2019, 7 years ago. Practices with Lubbock County Hospital District, a 65-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2019
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

3506 21st St 507
Lubbock, TX 79410-1105
Phone: (806) 725-4800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 602 Indiana Ave, Lubbock, TX 79415-3364 — (806) 775-9700

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP143497 (TX)

Record details

NPI number1205478021
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 14, 2019
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Lubbock County Hospital District — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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