Kelsey Tucker Geer, CRNP
Individual provider Active NPI Family Nurse Practitioner · Boaz, AL
NPI 1104486067 · NPPES record last updated Jun 13, 2019
Key facts
- NPI
- 1104486067
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1-136734 (AL)
- Practice address
- 2505 US Highway 431
Boaz, AL 35957-5908 - Phone
- (256) 490-7893
- NPI assigned
- Jun 13, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Marshall Medical Center South
Practice addresses (Care Compare)
2505 US Hwy 431
Boaz, AL 35957-5908
Phone (256) 593-8310
Hospital & facility affiliations
- Marshall Medical Centers
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190809002841 | AL | Practitioner - Nurse Practitioner | 6103153382 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshall Medical Center South | Current |
Accepting new patients | |
| App of Alabama Ed PLLC | Current |
Accepting new patients |
Locations
2505 US Highway 431
Boaz, AL 35957
Phone (256) 506-0061
4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611
5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-136734 | AL | Yes |
Addresses
Primary practice location
2505 US Highway 431
Boaz, AL 35957-5908
Mailing address
15 River Cliff Dr
Gadsden, AL 35901-8372
Phone (256) 490-7893
Other providers in Boaz, AL
- Kayla Stapp Gable
- Galloway Chiropractic Center, LLC
- James Eric Galloway
- Georgia Gamble
- Enrico D Gaspar
- Kevin Geiger
- Jennifer Giddens
- Corey Gilliland
- Go Medical Corporation PC
- Go Medical Corporation PC
All providers in Boaz, AL · Family Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.