Micalyn Kelley, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-123835 Issued in AL

Practice address

109 Opp Ave
Andalusia, AL 36420-3812

Phone

(850) 444-4700

Fax

(850) 444-7497

NPI assigned

Jan 25, 2022

Last updated

Apr 9, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, AL2 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

Specialty

Nurse Practitioner

Education

University of South Alabama College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pensacola Nephrology PAGroup PAC ID 7214832856, shared by 2 NPIs, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Andalusia Health Hospital, Andalusia, AL, CCN 010036
• Mizell Memorial Hospital Hospital, Opp, AL, CCN 010007
• Evergreen Medical Center Hospital, Evergreen, AL, CCN 010148
• Dale Medical Center Hospital, Ozark, AL, CCN 010021
• Monroe County Hospital Hospital, Monroeville, AL, CCN 011310

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Pensacola Nephrology, PA

  dba Renalus Center for Kidney Care

  • Nephrology Physician
  • Pensacola, FL
  • NPI 1518969765
  Medicare reassignment NPD
• Pensacola Nephrology, PA

  dba Renalus Center for Kidney Care

  • Nephrology Physician
  • Pensacola, FL
  • NPI 1700829728

  AL

  Medicare reassignment NPD
• Pensacola Nephrology, PA

  dba Renalus Center for Kidney Care

  • Nephrology Physician
  • Niceville, FL
  • NPI 1477501153
  NPD (past)

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

• Community Hospital of Andalusia LLC

  dba Andalusia Health

  • General Acute Care Hospital
  • Andalusia, AL
  • NPI 1821078494
  Care Compare affiliation
• Dale Medical Center

  • General Acute Care Hospital
  • Ozark, AL
  • NPI 1942380357
  Care Compare affiliation
• Evergreen Medical Center LLC

  • General Acute Care Hospital
  • Evergreen, AL
  • NPI 1891770368
  Care Compare affiliation
• Mizell Memorial Hospital, Inc.

  • Rural Acute Care Hospital
  • Opp, AL
  • NPI 1013937705
  Care Compare affiliation
• Monroe County Health Care Authority

  dba Monroe County Hospital Board

  • Critical Access Hospital
  • Monroeville, AL
  • NPI 1457392904
  Care Compare affiliation

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1205588803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11037",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325241037",
            "telephone_number": "850-444-4700",
            "fax_number": "850-444-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 OPP AVE",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364203812",
            "telephone_number": "850-444-4700",
            "fax_number": "850-444-7497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Lewis St",
            "address_purpose": "LOCATION",
            "city": "Evergreen",
            "state": "AL",
            "postal_code": "364013317",
            "country_code": "US",
            "telephone_number": "850-444-4700",
            "fax_number": "850-444-7497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1619 Creighton Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325047152",
            "country_code": "US",
            "telephone_number": "504-444-7008",
            "fax_number": "850-444-7497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "MICALYN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-123835",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11017793",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ginger Elisabeth Joiner, LPC
• Dana Jones, AANP-FNP
• Sonja Jones
• Lauren Hunter Karl, BCBA, LBA
• Meron Kassaye, PHARMD
• Kenny R Blackston OD PC
• Charles Reid Kerr, M.D.
• Melissa Killough, LPC
• Kindred Harmony Counseling, LLC
• Robert Parrish King, D.M.D.

• Nurse Practitioner in Andalusia, AL
• Providers in Andalusia, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.