Kelly Henderson, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

1-081348 Issued in AL

Practice address

1518 Professional Pkwy
Auburn, AL 36830-2857

Phone

(334) 321-0060

Fax

(334) 321-0063

NPI assigned

Jul 29, 2020

Last updated

May 29, 2024By the provider in NPPES

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Medicine Associates, LLCGroup PAC ID 7214089432, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Homecare of East Alabama Medical Center Home health agency, Auburn, AL, CCN 017129
• The East Alabama Healthcare Authority Hospital, Opelika, AL, CCN 010029

Merit-based Incentive Payment System (MIPS)

Final score

85.51 of 100Reported as group

Quality

79.01

Promoting interoperability

99

Improvement activities

40

Cost

73.53

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4384/brand/1/csg/1/fhir/r4

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.

• Primary Medicine Associates, LLC

  • Family Medicine Physician
  • Auburn, AL
  • NPI 1407099286
  Medicare reassignment Care Compare group NPD
• East Alabama Primary Care, LLC

  dba East Alabama Primary Care

  • Family Medicine Physician
  • Auburn, AL
  • NPI 1710168257
  Medicare reassignment NPD
• The Heart Center Cardiology, PC

  • Specialist
  • Auburn, AL
  • NPI 1861427734
  Medicare reassignment NPD
• Auburn Primary Care LLC

  • Internal Medicine Physician
  • Auburn, AL
  • NPI 1821230277
  NPD
• East Alabama Heart and Vascular, LLC

  dba Heart and Lung Surgeons of East Alabama

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Opelika, AL
  • NPI 1073120119
  NPD (past)
• East Alabama Surgical Associates LLC

  • Vascular Surgery Physician
  • Opelika, AL
  • NPI 1215255757
  NPD (past)
• Valley Cardiology

  • Medical Specialty Clinic/Center
  • Valley, AL
  • NPI 1033363254
  NPD (past)

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

• East Alabama Medical Center Homecare, LLC

  dba Adoration Home Health

  • Home Health Agency
  • Auburn, AL
  • NPI 1770717738
  Care Compare affiliation
• The East Alabama Health Care Authority

  dba East Alabama Medical Center

  • General Acute Care Hospital
  • Opelika, AL
  • NPI 1154386431
  Care Compare affiliation

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1598374233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 PROFESSIONAL PKWY",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368302857",
            "telephone_number": "334-321-0060",
            "fax_number": "334-321-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 PROFESSIONAL PKWY",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368302857",
            "telephone_number": "334-321-0060",
            "fax_number": "334-321-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "KELLY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2024-05-29",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-081348",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "AL",
            "license": "1-081348",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.medconnect.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1719 Catherine Ct",
            "city": "Auburn",
            "state": "AL",
            "country_code": "US",
            "postal_code": "368305789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Auburn",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2375 Champions Blvd",
            "city": "Auburn",
            "state": "AL",
            "country_code": "US",
            "postal_code": "368306471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hearthstone Hearing, LLC
• Katherine Dumas Heath
• Eugene M Heavlin, D.M.D.
• Dylan Hebert, M.ED., NCC
• Kristen Helms, PHARMD
• Kristin Hendricks
• Laura Savage Herring
• Brandon S Hicks, PHARM.D.
• Harrison Gregory Hightower
• Doris Lou Hill, BCBA

• Adult Health Nurse Practitioner in Auburn, AL
• Providers in Auburn, AL by specialty
• Adult Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.