Individual provider Active NPI

Kailey Horne, CRNP

  • Family Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1104531896
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-163013 Issued in AL
Practice address
488 Saint Lukes Dr
Montgomery, AL 36117-7104
Phone
(334) 288-7808
NPI assigned
Jan 18, 2023
Last updated
Oct 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-163013 AL Primary

Addresses

Primary practice location

488 Saint Lukes Dr
Montgomery, AL 36117-7104

Mailing address

409 N Pridgen St
Geneva, AL 36340-4215

Other practice location 1

409 N Pridgen St
Geneva, AL 36340-4215
Phone (334) 360-3904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20231103002457 AL Practitioner - Nurse Practitioner 5496102055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

488 Saint Lukes Dr
Montgomery, AL 36117-7104
Phone (334) 288-7808

Merit-based Incentive Payment System (MIPS)

Final score
84.18 of 100Reported as group
Quality
75.76
Promoting interoperability
98
Improvement activities
40
Cost
73.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Pain of Montgomery LLC CurrentSince Oct 9, 2023 Accepting new patients
The Center for Pain of Montgomery LLC CurrentSince Oct 9, 2023 Accepting new patients

Locations

2065 E South Blvd
Ste 401
Montgomery, AL 36116

488 Saint Lukes Dr
Montgomery, AL 36117
Phone (256) 496-2635

201 Defense Hwy
Ste 205
Annapolis, MD 21401

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1104531896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 N PRIDGEN ST",
            "city": "GENEVA",
            "state": "AL",
            "postal_code": "363404215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 SAINT LUKES DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177104",
            "telephone_number": "334-288-7808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 N Pridgen St",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "AL",
            "postal_code": "363404215",
            "country_code": "US",
            "telephone_number": "334-360-3904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORNE",
        "first_name": "KAILEY",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-163013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.