Individual provider Active NPI

Abbie Leann Kelley, RN, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cedar Rapids, IA
National Provider Identifier
1114510575
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G162490 Issued in IA
Practice address
3900 Fountains Blvd NE Ste 203
Cedar Rapids, IA 52411-6610
Phone
(319) 727-8297
Fax
(319) 764-2003
NPI assigned
Feb 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G162490 IA Primary

Addresses

Primary practice location

3900 Fountains Blvd NE Ste 203
Cedar Rapids, IA 52411-6610

Mailing address

1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789
Phone (651) 628-9566

Other practice location 1

819 5th St SE
Cedar Rapids, IA 52401-2128
Phone (319) 375-3119

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231031000246 IA Practitioner - Nurse Practitioner 3274989033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1105 N Ankeny Blvd
Suite 100
Ankeny, IA 50023-4003
Phone (515) 255-8399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Associates of Iowa, PC CurrentSince Apr 1, 2024 Accepting new patients
Psychiatric Associates of Iowa, PC CurrentSince Apr 1, 2024 Accepting new patients

Locations

1105 N Ankeny Blvd
Ankeny, IA 50023
Phone (515) 255-8399

1105 N Ankeny Blvd
Ste 100
Ankeny, IA 50023
Phone (515) 255-8399

3900 Fountains Blvd NE
Ste 203
Cedar Rapids, IA 52411
Phone (319) 727-8297

2545 N Dodge St
Ste C
Iowa City, IA 52245
Phone (319) 249-0307

673 Westbury Dr
Ste 201
Iowa City, IA 52245
Phone (319) 356-6352

1290 Jordan St
North Liberty, IA 52317
Phone (319) 356-6352

1900 Silver Lake Rd NW
Saint Paul, MN 55112
Phone (651) 379-1704

1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718

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": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1114510575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SILVER LAKE RD NW STE 110",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551121789",
            "telephone_number": "651-628-9566",
            "fax_number": "651-628-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 FOUNTAINS BLVD NE STE 203",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524116610",
            "telephone_number": "319-727-8297",
            "fax_number": "319-764-2003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "819 5th St SE",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524012128",
            "country_code": "US",
            "telephone_number": "319-375-3119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "ABBIE",
        "middle_name": "LEANN",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G162490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.