Individual provider Active NPI

Kellie Metcalf Kendall, MSN, NP-C

  • Family Nurse Practitioner
  • Asheville, NC
National Provider Identifier
1235374869
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5004230 Issued in NC
Practice address
100 Far Horizons LN
Asheville, NC 28803-2046
Phone
(828) 771-2219
Fax
(828) 771-2634
NPI assigned
Dec 11, 2008
Last updated
Feb 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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 5004230 NC Primary

Addresses

Primary practice location

100 Far Horizons LN
Asheville, NC 28803-2046

Mailing address

100 Far Horizons LN
Asheville, NC 28803-2046
Phone (828) 771-2219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20110421000715 NC Practitioner - Nurse Practitioner 8224213996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MemorycareGroup PAC ID 9537105010, 8 clinicians

Practice addresses (Care Compare)

100 Far Horizons Lane
Asheville, NC 28803-2046

100 Far Horizons LN
Asheville, NC 28803-2046
Phone (828) 771-2219

81 Elmwood Way
Waynesville, NC 28786-5829
Phone (828) 771-2219

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorycare CurrentSince Nov 1, 2021 Accepting new patients
Mission Hospitals Inc Current Accepting new patients
Parkway Family Physicians PA Past Accepting new patients

Locations

100 Far Horizons Ln
Asheville, NC 28803
Phone (828) 771-2219

50 Schenck Pkwy
Asheville, NC 28803
Phone (828) 526-4346

81 Elmwood Way
Waynesville, NC 28786
Phone (828) 771-2219

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHJIDD/Endpoint/AHJIDD

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.

NPI Registry JSON

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1235374869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FAR HORIZONS LN",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032046",
            "telephone_number": "828-771-2219",
            "fax_number": "828-771-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FAR HORIZONS LN",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032046",
            "telephone_number": "828-771-2219",
            "fax_number": "828-771-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "KELLIE",
        "middle_name": "METCALF",
        "name_prefix": "Mrs.",
        "credential": "MSN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-11",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.