Gail Henri Kelly, CRNP-FAMILY

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R097105 Issued in MD

Practice address

1102 E Joppa Rd
Towson, MD 21286-5805

Phone

(410) 321-7210

NPI assigned

Feb 8, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gkelly1634907@direct.trinity-health.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.

• Haven Medical Group, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Gainesville, FL
  • NPI 1407143316
  NPD

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1730771064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13305 BEACH BLVD APT 1408",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322467348",
            "telephone_number": "443-804-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 E JOPPA RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865805",
            "telephone_number": "410-321-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "GAIL",
        "middle_name": "HENRI",
        "credential": "CRNP-FAMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R097105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Kellam
• Thomas Clark Keller Sr., D.D.S.
• John J Kelley Jr., BCO
• Christine M Kellner, CRNA
• Debra A Kelly, CRNA
• Samuel James Kelly III, LCSW-C
• Alan Kelman, M.D.
• Ashley Kelsey, RD, LDN
• Shannon Kelso, DNP, CRNP-PMH, PMHNP
• Raechelle Lynn Kempfer, NP

• Family Nurse Practitioner in Towson, MD
• Providers in Towson, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.