Individual provider Active NPI

Kelley McKaig Rogers, CRNP

  • Family Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1609233352
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-143464 Issued in AL
Practice address
247 Chateau Dr SW
Huntsville, AL 35801-6401
Phone
(256) 882-1510
Fax
(256) 217-5838
NPI assigned
Jan 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 1-143464 AL Primary

Addresses

Primary practice location

247 Chateau Dr SW
Huntsville, AL 35801-6401

Mailing address

247 Chateau Dr SW
Huntsville, AL 35801-6401
Phone (256) 882-1510

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kelley.rogers@innovapc.eclinicaldirectplus.com Innova Primary Care, PC

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160601002224 AL Practitioner - Nurse Practitioner 8921398009 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innova Primary Care, PCGroup PAC ID 4688845571, 14 clinicians

Practice addresses (Care Compare)

145 Research Blvd
Suite 100
Madison, AL 35758-2176
Phone (256) 882-1510

Hospital & facility affiliations

  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039
  • Crestwood Medical Center Hospital, Huntsville, AL, CCN 010131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-143464ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC Current Accepting new patients
Innova Primary Care, PC CurrentSince Mar 1, 2017 Accepting new patients
American Family Care, LLC CurrentSince Apr 4, 2016 Accepting new patients
American Family Care, LLC CurrentSince Apr 4, 2016 Accepting new patients

Locations

247 Chateau Dr SW
Huntsville, AL 35801
Phone (256) 533-9393

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

1102 Gleneagles Dr SW
Huntsville, AL 35801
Phone (256) 881-5880

145 Research Blvd
Ste 100
Madison, AL 35758
Phone (256) 882-1510

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFECDA

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1609233352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 CHATEAU DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016401",
            "telephone_number": "256-882-1510",
            "fax_number": "256-217-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 CHATEAU DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016401",
            "telephone_number": "256-882-1510",
            "fax_number": "256-217-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "KELLEY",
        "middle_name": "MCKAIG",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-143464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelley.rogers@innovapc.eclinicaldirectplus.com",
            "affiliation": "Y",
            "affiliationName": "Innova Primary Care, PC",
            "address_1": "247 Chateau Dr SW",
            "city": "Huntsville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "358016401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.