Jessica Lynn Kelley, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R198081-5 Issued in MN

Practice address

820 2ND Ave N
Windom, MN 56101-1761

Phone

(507) 831-8405

Fax

(507) 831-5668

NPI assigned

Aug 24, 2010

Last updated

Aug 24, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Sanford School of Medicine of University of South Dakota, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spencer Municipal HospitalGroup PAC ID 4183533060, 95 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Spencer Municipal Hospital Hospital, Spencer, IA, CCN 160112
• Lakes Regional Healthcare Hospital, Spirit Lake, IA, CCN 160124

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.kelley@avera.sdhealthlink.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spencer Municipal Hospital

  dba Milford Family Care

  • Clinic/Center
  • Milford, IA
  • NPI 1396732186
  Medicare reassignment Care Compare group NPD
• Spencer Municipal Hospital

  dba Hartley Family Care of Spencer Hospital

  • Clinic/Center
  • Hartley, IA
  • NPI 1225767338
  NPD
• Spencer Municipal Hospital

  dba Iowa Spine Care

  • Orthopaedic Surgery Physician
  • Spencer, IA
  • NPI 1316432826
  NPD
• Spencer Municipal Hospital

  • Rural Acute Care Hospital
  • Spencer, IA
  • NPI 1255328621
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lakes Regional Healthcare

  • General Acute Care Hospital
  • Spirit Lake, IA
  • NPI 1508862012
  Care Compare affiliation
• Spencer Municipal Hospital

  • Rural Acute Care Hospital
  • Spencer, IA
  • NPI 1255328621
  Care Compare affiliation
• Spencer Municipal Hospital

  dba NWIA Bone, Joint & Sports Surgeons, a department of Spencer Hospital

  • Orthopaedic Surgery Physician
  • Spencer, IA
  • NPI 1578108478

  Hospital

  Care Compare affiliation
• Spencer Municipal Hospital

  dba Avera Medical Group Spencer, a Department of Spencer Hospital

  • Family Medicine Physician
  • Spencer, IA
  • NPI 1780062273

  Hospital

  Care Compare affiliation
• Spencer Municipal Hospital

  dba Northwest Iowa Ear Nose & Throat

  • Otolaryngology Physician
  • Spencer, IA
  • NPI 1821619479

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1043526403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "WINDOM",
            "state": "MN",
            "postal_code": "561010338",
            "telephone_number": "507-831-8405",
            "fax_number": "507-831-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 2ND AVE N",
            "city": "WINDOM",
            "state": "MN",
            "postal_code": "561011761",
            "telephone_number": "507-831-8405",
            "fax_number": "507-831-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R198081-5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Taber MD (Windom Family Medical Center)
• Lori Ann Jensen
• Carmin K Johnson
• Andrea B Jolley, M.D.
• Brandon Karels, DDS
• Bertha M Klassen, CNP
• Micara Louise Kolander
• Loretta Renee Krahn, CRNA
• Paul Kriegl, PHARM D
• Amy Lynn Kufahl, RNFNP

• Family Nurse Practitioner in Windom, MN
• Providers in Windom, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.