NPIMap

Individual provider Active NPI

Cheryl Ann Kelley, NP

  • Family Nurse Practitioner
  • Snyder, TX
National Provider Identifier
1306838602
Registry record updated Dec 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
240740 Issued in TX
Practice address
5311 Big Spring Hwy
Snyder, TX 79549-6347
Phone
(325) 776-2500
Fax
(325) 776-2355
NPI assigned
Aug 22, 2005
Last updated
Dec 3, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2009

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 240740 TX Primary

Addresses

Primary practice location

5311 Big Spring Hwy
Snyder, TX 79549-6347

Mailing address

1407 Sunnyvale St
Sweetwater, TX 79556-1922
Phone (325) 933-4224

Other identifiers 1

IdentifierTypeStateIssuer
80N426OtherTXMEDICARE PART B

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050422001199 TX Practitioner - Nurse Practitioner 9234177809 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fisher County Hospital DistrictGroup PAC ID 2163311465, shared by 4 NPIs, 27 clinicians

Practice addresses (Care Compare)

774 State Hwy 70 N
Rotan, TX 79546-6918
Phone (325) 735-2256

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
240740TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fisher County Hospital District Current Accepting new patients
Rolling Plains Memorial Hospital CurrentSince Jan 29, 2017 Accepting new patients
Fisher County Hospital District CurrentSince Oct 1, 2017 Accepting new patients
Fisher County Hospital District Current Accepting new patients
Fisher County Hospital District CurrentSince Oct 1, 2017 Accepting new patients
Rolling Plains Memorial Hospital CurrentSince Jan 29, 2017 Accepting new patients
Angel Care, Inc. Past Accepting new patients
Hendrick Southwestern Health Development Corporation Past Accepting new patients

Locations

774 State Highway 70 N
Rotan, TX 79546
Phone (325) 735-2256

201 E Arizona Ave
Sweetwater, TX 79556
Phone (325) 235-1701

Interoperability endpoints

  • Direct secure messaging: cheryl.kelley.1@29392.direct.athenahealth.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/rolling-5861da2b

Organizations & group practices 8

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 6

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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259798400000",
    "number": "1306838602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 SUNNYVALE ST",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795561922",
            "telephone_number": "325-933-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 BIG SPRING HWY",
            "city": "SNYDER",
            "state": "TX",
            "postal_code": "795496347",
            "telephone_number": "325-776-2500",
            "fax_number": "325-776-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2009-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "240740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "80N426",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snyder, TX

Sources for this page

Verify at the official NPI Registry.