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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Marisa Mae Kelly, RN

Registered Nurse First Assistant in Palmer, AK · enumerated 2021 · practices at Glacier Surgical Associates, Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053903799

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Registry record

Entity type Individual (Type 1)
Name Marisa Mae Kelly
Credential RN
Sex Female
Practice address 425 E Dahlia Ave Ste J, Palmer, AK, 99645
Phone (907) 746-1520
Fax (907) 746-1521
Enumeration date Feb 4, 2021
Last updated in NPPES Feb 23, 2021

Taxonomy & licenses

163WR0006X Registered Nurse First Assistant Nursing Service Providers · License 168876 (AK) Primary
RN · Registered Nurse: A nurse who completed an accredited nursing program and passed the NCLEX-RN licensure exam. About the RN credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1053903799 active?
Yes, as of the latest NPPES snapshot, NPI 1053903799 is active (record last updated 2021-02-23).
How do I verify Marisa Kelly's NPI record?
Cross-check NPI 1053903799 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-02-23.