Jarena Jan Kelly, DNP,APRN-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

41613 Issued in WV

Practice address

506 Chestnut St
South Charleston, WV 25309-1204

Phone

(304) 766-8558

Fax

(304) 766-8561

NPI assigned

Aug 23, 2006

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 names 1

• Jarena J Gibson Former name

Electronic endpoints 4

Medicare fee-for-service enrollment

Enrolled in WV

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, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Thomas Memorial Hospital Hospital, South Charleston, WV, CCN 510029

Merit-based Incentive Payment System (MIPS)

Final score

95.34 of 100Reported as apm

Quality

79.86

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jerena.kelly@thomashealthsystem.direct-ci.com
• FHIR API: https://api.platform.athenahealth.com/12396/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• THS Physician Partners Inc

  • Internal Medicine Physician
  • South Charleston, WV
  • NPI 1871866806

  Family

  Medicare reassignment Care Compare group NPD
• West Virginia Health Right, Inc.

  • Health Service Clinic/Center
  • Charleston, WV
  • NPI 1124453964
  Medicare reassignment NPD
• Womencare, Inc

  • Federally Qualified Health Center (FQHC)
  • Winfield, WV
  • NPI 1760268643
  NPD (past)

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

• Herbert J. Thomas Memorial Hospital Association

  • General Acute Care Hospital
  • South Charleston, WV
  • NPI 1316925506
  Care Compare affiliation

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1235246729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 MACCORKLE AVE SW",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091311",
            "telephone_number": "304-414-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 CHESTNUT ST",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091204",
            "telephone_number": "304-766-8558",
            "fax_number": "304-766-8561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6A Bank St",
            "address_purpose": "LOCATION",
            "city": "Nitro",
            "state": "WV",
            "postal_code": "251431708",
            "country_code": "US",
            "telephone_number": "304-306-3058",
            "fax_number": "304-306-3059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Laidley St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011614",
            "country_code": "US",
            "telephone_number": "304-347-6773",
            "fax_number": "304-347-6848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4605 MacCorkle Ave SW",
            "address_purpose": "LOCATION",
            "city": "South Charleston",
            "state": "WV",
            "postal_code": "253091311",
            "country_code": "US",
            "telephone_number": "304-414-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JARENA",
        "middle_name": "JAN",
        "name_prefix": "Mrs.",
        "credential": "DNP,APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "41613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jerena.kelly@thomashealthsystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "4605 MacCorkle Ave SW",
            "city": "South Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253091311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jerena.kelly@thomashealthsystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "506 Chestnut St",
            "city": "South Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253091204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jerena.kelly@thomashealthsystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "6A Bank St",
            "city": "Nitro",
            "state": "WV",
            "country_code": "US",
            "postal_code": "251431708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jerena.kelly@thomashealthsystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "333 Laidley St",
            "city": "Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253011614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JARENA",
            "last_name": "GIBSON",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brandy Keeten
• Shae Keffer
• Robby L Keith, M.D.
• Heather Dawn Keliher
• Shanee Keller
• Lawrence Bennett Kelly, M.D.
• Frank Kemble
• Alola Kendrick
• Riana Kenneda
• Tina Kenneda

• Family Nurse Practitioner in South Charleston, WV
• Providers in South Charleston, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.