Diane Marie Kelley, MSN, ANP-BC APNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

6513-33 Issued in WI

Practice address

300 Femrite Drive
Monona, WI 53716

Phone

(608) 663-2120

NPI assigned

Aug 12, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Master of Science - Nursing

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 and National Provider Directory roles.

• Agrace Palliative Care LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Fitchburg, WI
  • NPI 1326386129
  NPD
• Tellurian, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monona, WI
  • NPI 1235302480
  NPD
• Tellurian, Inc.

  • Community/Behavioral Health Agency
  • Monona, WI
  • NPI 1740213776
  NPD
• Agrace Hospicecare, Incorporated

  • Community Based Hospice Care Agency
  • Fitchburg, WI
  • NPI 1861503534
  NPD (past)

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1326414442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5213 DAY LILY PLACE",
            "city": "FITCHBURG,",
            "state": "WI",
            "postal_code": "53711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FEMRITE DRIVE",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "53716",
            "telephone_number": "608-663-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "credential": "MSN, ANP-BC APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WI",
            "license": "6513-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kadop Health Care Services LLC (Always Best Care Madison)
• Kaitlyn Laurie, S.C
• Jessica Lee Katcher, LCSW, SACIT
• Leeann Katzfey
• Pamela Ann Keating, RN
• Rachel A Kelley
• Jessica L Kiecker, DMD
• Rebecca J Kienbaum, CAPSW
• James E Kilgore, CSAC, ICS
• Jennifer R Klawitter, LPC, SAC

• Adult Health Nurse Practitioner in Monona, WI
• Providers in Monona, WI by specialty
• Adult Health Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.