Marypat Kelly, GNP - Nurse Practitioner in San Jose, CA

Marypat Kelly, GNP is a Nurse Practitioner - Gerontology based in San Jose, California. Marypat Kelly is licensed to practice in California (license number 15112) and her current practice location is 80 Great Oaks Blvd, San Jose, California. She can be reached at her office (for appointments etc.) via phone at (408) 363-3000.

NPI number for Marypat Kelly is 1043289523 and her current mailing address is 1150 Pine St, Menlo Park, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043289523.

Contact Information

Marypat Kelly, GNP
80 Great Oaks Blvd,
San Jose, CA 95119-1310
(408) 363-3000
(408) 363-3082



Provider's Profile

Full NameMarypat Kelly
GenderFemale
SpecialityNurse Practitioner - Gerontology
Location80 Great Oaks Blvd, San Jose, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043289523
  • Provider Enumeration Date: 03/16/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Marypat Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043289523NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 15112 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marypat Kelly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Marypat Kelly, GNP
1150 Pine St,
Menlo Park, CA 94025-3455

Ph: (650) 473-0529
Marypat Kelly, GNP
80 Great Oaks Blvd,
San Jose, CA 95119-1310

Ph: (408) 363-3000

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› Verified 1 days ago


Nurse Practitioner Nurses in San Jose, CA

Louise Mary Bruce, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1691 The Alameda, San Jose, CA 95126
Phone: 408-287-7526    Fax: 408-971-6963
Jodie Sugiyama, GNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4850 Union Ave, San Jose, CA 95124
Phone: 408-559-5600    
Kera Njenga,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 52 Skytop St Apt 107, San Jose, CA 95134
Phone: 443-827-2023    
Laura J Ohara, R.N., P.N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2577 Samaritan Drive, Suite 815, San Jose, CA 95124
Phone: 408-358-3573    
Julie Dutton, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4855 Atherton Ave Ste 101, San Jose, CA 95130
Phone: 408-963-2400    Fax: 408-963-2472
Thu Lan T Pham, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 751 S Bascom Ave, San Jose, CA 95128
Phone: 408-885-5000    
Jenney Leem Lam, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 200 Jose Figueres Ave Ste 255, San Jose, CA 95116
Phone: 408-223-7474    Fax: 408-223-9339

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