Kelly Miles Petrovics, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-158612 Issued in AL

Practice address

1001 Brocks Gap Pkwy Ste 101
Hoover, AL 35244-4028

Phone

(205) 421-1032

Fax

(205) 421-1040

NPI assigned

Aug 26, 2020

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

Electronic endpoints 1

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medical West Hospital Authority, an Affiliate of Uab Health SystemGroup PAC ID 6406865427, 88 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical West, an Affiliate of Uab Health System Hospital, Bessemer, AL, CCN 010114
• Princeton Baptist Medical Center Hospital, Birmingham, AL, CCN 010103

Merit-based Incentive Payment System (MIPS)

Final score

98.67 of 100Reported as apm

Quality

80.18

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: petrovics.kelly@direct.uabmw.org

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.

• Medical West Hospital Authority, an Affiliate of Uab Health System

  dba UAB Medical West

  • Multi-Specialty Clinic/Center
  • Bessemer, AL
  • NPI 1952483729
  Medicare reassignment Care Compare group NPD
• Medical West Hospital Authority, an Affiliate of Uab Health System

  dba UAB Medical West

  • General Acute Care Hospital
  • Bessemer, AL
  • NPI 1790896710
  NPD

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

• BBH PBMC, LLC

  dba Baptist Health Princeton Hospital

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1164876546
  Care Compare affiliation
• Medical West Hospital Authority, an Affiliate of Uab Health System

  dba UAB Medical West

  • General Acute Care Hospital
  • Bessemer, AL
  • NPI 1790896710
  Care Compare affiliation

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1689287070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 9TH AVE SW",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350224500",
            "telephone_number": "205-481-7312",
            "fax_number": "205-481-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BROCKS GAP PKWY STE 101",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444028",
            "telephone_number": "205-421-1032",
            "fax_number": "205-421-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROVICS",
        "first_name": "KELLY",
        "middle_name": "MILES",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-158612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "petrovics.kelly@direct.uabmw.org",
            "affiliation": "N",
            "address_1": "1001 Brocks Gap Pkwy Ste 101",
            "city": "Hoover",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352444028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Nick Petelos, M.D.
• Emily Gardner Peterson
• Jennifer Peterson, PHARMD
• Tymerra Peterson
• Wilkes Banks Petrey, M.D.
• Katie Danielle Peyton
• Pharmacy Corporation of America (PharMerica)
• Melissa Pharo, PHARM.D
• Chris A Phillips, MD
• Kristy Phillips, MAT, LAT, ATC

• Family Nurse Practitioner in Hoover, AL
• Providers in Hoover, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.