Darlene C Kelly, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R17289 Issued in ND

Practice address

108 N Main Street
McVille, ND 58254-0307

Phone

(701) 322-4347

Fax

(701) 322-2250

NPI assigned

Mar 8, 2007

Last updated

Oct 19, 2011By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ND

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

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nelson County Health SystemGroup PAC ID 5597658104, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Nelson County Health System

  • Rural Health Clinic/Center
  • McVille, ND
  • NPI 1578624136
  Medicare reassignment Care Compare group
• Nelson County Health System

  • Critical Access Hospital
  • McVille, ND
  • NPI 1134280860
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1114058468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N MAIN STREET",
            "address_2": "PO BOX 307",
            "city": "MCVILLE",
            "state": "ND",
            "postal_code": "582540307",
            "telephone_number": "701-322-4347",
            "fax_number": "701-322-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N MAIN STREET",
            "city": "MCVILLE",
            "state": "ND",
            "postal_code": "582540307",
            "telephone_number": "701-322-4347",
            "fax_number": "701-322-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "DARLENE",
        "middle_name": "C",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "ND",
            "license": "R17289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19526",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Altru Health System (Nelson County Health System)
• Patricia Lynn Ellis
• Michael L Hammer, DNP
• Erling D Martinson
• McVille Community Ambulance Services (McVille Community Ambulance)
• Nelson County Health System
• Nelson County Health System
• Nelson County Health System (Nelson County Health System Care Center)

• Pediatric Nurse Practitioner in McVille, ND
• Providers in McVille, ND by specialty
• Pediatric Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.