Jennifer Kelley, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD.206814 Issued in LA

Practice address

5751 Shed Rd Ste 120
Bossier City, LA 71111-5662

Phone

(318) 935-1922

Fax

(318) 935-1925

NPI assigned

May 6, 2010

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 LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric MedicineAlso: Internal Medicine

Education

Louisiana State University School of Medicine in Shreveport, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

WK Internal Medicine and Pediatric Specialists 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Primestar Home Health of Nwla, Inc Home health agency, Minden, LA, CCN 197446
• Stat Home Health of Northwest Louisiana, LLC Home health agency, Sibley, LA, CCN 197594
• Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jkelley1@direct.wkhs.com

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.

• WK Internal Medicine and Pediatric Specialists

  • Internal Medicine Physician
  • Bossier City, LA
  • NPI 1851783955

  Internal Medicine, LA

  Medicare reassignment Care Compare group NPD
• Lsu Health Sciences Center Shreveport Faculty Group Practice

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1013374222

  Internal Medicine, LA

  Medicare reassignment NPD

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

• Primestar Home Health of Nwla Inc

  • Home Health Agency
  • Minden, LA
  • NPI 1952350456
  Care Compare affiliation
• Stat Home Health of Northwest Louisiana, LLC

  • Home Health Agency
  • Sibley, LA
  • NPI 1508898008
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Bossier City, LA
  • NPI 1003968579

  Hospital

  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1124170691

  Hospital

  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1275685539

  Hospital

  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1568461572

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1366760993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 SHED RD STE 120",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115662",
            "telephone_number": "318-935-1922",
            "fax_number": "318-935-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5751 SHED RD STE 120",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115662",
            "telephone_number": "318-935-1922",
            "fax_number": "318-935-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-06",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.206814",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.206814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Renee Kane, OTT
• Ahmad Marwan Kaskas
• Ashley Keel, DPT
• Christina Keeler, RRT
• Kristy A Kehoe, PA
• Kelly Optometry, a Professional Corporation
• Carl Aris Kelly III, O.D.
• Mallory Jane Kelly
• Nancy Lynne Kelly
• Kennedy K Lim MD and Willis-Knighton Medical Center

• All providers in Bossier City, LA
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.