Kerstin Annette McElvain, CRNP
Individual provider Active NPI Nurse Practitioner · Albertville, AL
NPI 1508320706 · NPPES record last updated Dec 27, 2024
Key facts
- NPI
- 1508320706
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 220904 (AZ)
- Practice address
- 3442 US Hwy 431
Albertville, AL 35950 - Phone
- (256) 580-7660
- Fax
- (256) 580-7670
- NPI assigned
- Jan 22, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 38
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Quality of Life Health Services Inc
Afc Florida, LLC
Practice addresses (Care Compare)
4350 Cleveland Ave
Walnut Grove, AL 35990
Phone (256) 492-0131
4713 Hwy 90
Pace, FL 32571-1403
Phone (850) 304-0694
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in AZ, FL, AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190306000921 | AZ | Practitioner - Nurse Practitioner | 1355504663 | Reassigns benefits to 3 organizations |
| I20201229001553 | FL | Practitioner - Nurse Practitioner | 1355504663 | Reassigns benefits to 1 organization |
| I20211014003269 | AL | Practitioner - Nurse Practitioner | 1355504663 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220904 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Healthcare LLC | Current | Accepting new patients | |
| Good Health Medical, PLLC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Tri-State Community Healthcare Center | Current |
Accepting new patients | |
| Quality of Life Health Services, Inc | Current |
Accepting new patients | |
| Good Health Medical, PLLC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Desert Spurs Primary Care, PLLC | Current |
Accepting new patients | |
| Good Health Medical, PLLC | Current |
Accepting new patients | |
| Advantage Family Care Inc | Current |
Accepting new patients | |
| Advantage Family Care, Inc. | Current |
Accepting new patients | |
| Afc Florida, LLC | Current |
Accepting new patients | |
| Tri-State Community Healthcare Center | Current |
Accepting new patients | |
| Bullhead Urgent Care Corp | Nurse Practitioner | Current |
Accepting new patients |
| Quality of Life Health Services, Inc | Current |
Accepting new patients | |
| Southwest Neurology and Sleep Medicine LLC | Current |
Accepting new patients | |
| San Luis Walk-in Clinic, Inc. | Past | Accepting new patients |
Locations
1115 Beltline Rd SE
Ste 400
Decatur, AL 35601
Phone (256) 898-3004
416 N Seminary St
Ste 1100
Florence, AL 35630
Phone (256) 284-7280
1411 Piedmont Cutoff
Gadsden, AL 35903
Phone (205) 492-0131
900 Bob Wallace Ave SW
Ste 104
Huntsville, AL 35801
Phone (256) 539-0781
1355 Ramar Rd
Ste 10
Bullhead City, AZ 86442
Phone (928) 444-8405
1355 Ramar Rd
Ste 11
Bullhead City, AZ 86442
Phone (928) 704-9202
261 N Roosevelt Ave
Chandler, AZ 85226
Phone (480) 305-2888
428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400
8700 S Highway 95
Mohave Valley, AZ 86440
Phone (928) 768-7113
2401 W Glendale Ave
Ste 203
Phoenix, AZ 85021
Phone (602) 319-0296
287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282
1394 John Sims Pkwy E
Niceville, FL 32578
Phone (850) 517-1920
4713 Highway 90
Pace, FL 32571
Phone (850) 304-0694
15415 Panama City Beach Pkwy
Panama City Beach, FL 32413
Phone (850) 588-3589
4850 Mobile Hwy
Ste 100
Pensacola, FL 32506
Phone (850) 542-7771
30 Burton Hills Blvd
Ste 175
Nashville, TN 37215
Phone (615) 988-2014
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 220904 | AZ | |
| Family Nurse Practitioner | 363LF0000X | 11006756 | FL | |
| Nurse Practitioner | 363L00000X | 220904 | AZ | Yes |
Addresses
Primary practice location
3442 US Hwy 431
Albertville, AL 35950
Mailing address
1510 E Wagon Wheel LN Ste 110
Fort Mohave, AZ 86426-6698
Phone (928) 788-3333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 499018 | Medicaid | AZ | |
| 14375499 | Other | CAQH |
NPI Registry JSON
{
"created_epoch": "1548115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735257600000",
"number": "1508320706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 E WAGON WHEEL LN STE 110",
"city": "FORT MOHAVE",
"state": "AZ",
"postal_code": "864266698",
"telephone_number": "928-788-3333",
"fax_number": "928-788-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3442 US HWY 431",
"city": "ALBERTVILLE",
"state": "AL",
"postal_code": "35950",
"telephone_number": "256-580-7660",
"fax_number": "256-580-7670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCELVAIN",
"first_name": "KERSTIN",
"middle_name": "ANNETTE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-22",
"last_updated": "2024-12-27",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "220904",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11006756",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "220904",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "499018",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "14375499",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albertville, AL
- Elizabeth Butler Matthews
- D Richard McCurdy
- Kathryn Bond McCurdy
- Niccole Lynne McDaniel
- Savannah McDaniel
- Daniel Joseph McLean
- Natalie McNeese
- Medical Asset Group, LLC
- Medical Centers Homecare, LLC
- Michael a McEwen, M.D., P.a.
All providers in Albertville, AL · Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.