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NPISignal

Individual Healthcare Provider

Mary Jo Kelly, DNP, ARNP, ACNS-BC

NPI Record: ActiveClinical Nurse Specialist — Critical Care Medicine
NPI1659155877
Seattle, Washington

Provider's NPPES record last updated: August 21, 2023

Overview

Entity Type
Individual Healthcare Provider
NPI
1659155877
Primary Specialty
Clinical Nurse Specialist — Critical Care Medicine
Practice Location
Seattle, Washington
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 10:43 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Clinical Nurse Specialist

    Critical Care Medicine

    Physician Assistants & Advanced Practice Nursing Providers

    Primary

    Definition to come...

    Taxonomy code 364SC0200X

  • Clinical Nurse Specialist

    Acute Care

    Physician Assistants & Advanced Practice Nursing Providers

    Definition to come...

    Taxonomy code 364SA2100X

  • Clinical Nurse Specialist

    Adult Health

    Physician Assistants & Advanced Practice Nursing Providers

    Definition to come...

    Taxonomy code 364SA2200X

Provider-Reported License Information

Clinical Nurse Specialist (Washington)
AP60676450
Clinical Nurse Specialist (Washington)
AP60676450
Clinical Nurse Specialist (Washington)
AP60676450
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

500 17th Ave

Seattle, Washington 98122-5711

Phone: (206) 353-6686

Record Information

Enumeration Date
August 21, 2023
Provider's NPPES Record Last Updated
August 21, 2023
Certification Date
August 20, 2023
NPISignal NPPES Dataset
August 2026

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