Individual provider Active NPI

Kelli Rose Spurlock, FNP

  • Family Nurse Practitioner
  • Huntington, WV
National Provider Identifier
1124651393
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
105591 Issued in WV
Practice address
1600 Medical Center Dr Ste 1500
Huntington, WV 25701-3657
Phone
(304) 691-1100
NPI assigned
Feb 17, 2020
Last updated
Dec 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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 105591 WV Primary

Addresses

Primary practice location

1600 Medical Center Dr Ste 1500
Huntington, WV 25701-3657

Mailing address

3375 US Route 60
Huntington, WV 25705-2837
Phone (304) 525-7851

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kelli.spurlock@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200325002017 WV Practitioner - Nurse Practitioner 6305077140
I20240411003188 KY Practitioner - Nurse Practitioner 6305077140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashland Hospital CorporationGroup PAC ID 7719882521, 169 clinicians

Practice addresses (Care Compare)

2500 State Route 5
Ashland, KY 41102-9102
Phone (606) 324-1414

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.16 of 100Reported as group
Quality
77.42
Promoting interoperability
100
Improvement activities
40
Cost
77.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Hospital Corporation CurrentSince Feb 13, 2024 Accepting new patients
Ashland Hospital Corporation CurrentSince Feb 13, 2024 Accepting new patients
St. Mary's Medical Center Home Health Services, LLC PastSince Apr 30, 2003 Accepting new patients

Locations

12100 Princeland Spur
Ashland, KY 41102
Phone (606) 928-2963

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

2500 State Route 5
Ashland, KY 41102
Phone (606) 324-1414

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1124651393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 US ROUTE 60",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052837",
            "telephone_number": "304-525-7851",
            "fax_number": "304-525-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR STE 1500",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013657",
            "telephone_number": "304-691-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPURLOCK",
        "first_name": "KELLI",
        "middle_name": "ROSE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "105591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelli.spurlock@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1600 Medical Center Dr Ste 1500",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.