Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Kelly Marcum, NP

Q: What is the NPI number for Kelly Marcum?

The National Provider Identifier (NPI) for Kelly Marcum is 1619973930, a Type 1 (individual) record in the CMS NPPES registry.

Family Nurse Practitioner in Overgaard, AZ · enumerated 2005.

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

National Provider Identifier

1619973930

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Registry record

Entity type Individual (Type 1)

Name Mr. Kelly Marcum

Credential NP

Sex Male

Practice address 2931 S Hwy 260, Overgaard, AZ, 85933

Phone (928) 536-3616

Fax (928) 536-3615

Enumeration date Jun 22, 2005

Last updated in NPPES Dec 30, 2013

Taxonomy & licenses

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License RN036514 (AZ) Primary

NP · Nurse Practitioner: An advanced practice registered nurse with graduate training, licensed to diagnose and treat, often with prescriptive authority. About the NP 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.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Kelly Marcum?

The National Provider Identifier (NPI) for Kelly Marcum is 1619973930, a Type 1 (individual) record in the CMS NPPES registry.

Where does Kelly Marcum practice?

The practice location on file with NPPES is in Overgaard, AZ. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-12-30.