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

Vaughn William Kelly, FNP

Individual provider Family Nurse Practitioner · NPI 1013801877

Vaughn William Kelly, FNP is a Nurse Practitioner in Palmer, Alaska. Qualified in 2025, 1 year ago. Practices with Mat-Su Valley III LLC, a 25-clinician group and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
1
Licensed in
AK
In the registry since
2025
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

2500 S Woodworth Loop
Palmer, AK 99645-8984
Phone: (907) 861-6000
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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 238192 (AK)

Record details

NPI number1013801877
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorYes
NPI enumeratedJune 5, 2025
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Mat-Su Valley Iii Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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