Individual provider Active NPI

Kelli McConnell

  • Acute Care Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1780166769
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-143427 Issued in AL
Practice address
3680 Grandview Pkwy Ste 200
Birmingham, AL 35243-3411
Phone
(205) 971-7500
NPI assigned
Sep 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-143427 AL Primary

Addresses

Primary practice location

3680 Grandview Pkwy Ste 200
Birmingham, AL 35243-3411

Mailing address

3680 Grandview Pkwy Ste 200
Birmingham, AL 35243-3411
Phone (205) 971-7500

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
I20190131002234 AL Practitioner - Nurse Practitioner 4981941713 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Cardiovascular Specialists LLCGroup PAC ID 1658680434, 44 clinicians

Practice addresses (Care Compare)

3680 Grandview Pkwy
Suite 200
Birmingham, AL 35243-3326

3690 Grandview Pkwy
Birmingham, AL 35243-3326
Phone (205) 971-1000

7063 Veterans Pkwy
Pell City, AL 35125-5114
Phone (205) 971-0139

Hospital & facility affiliations

  • Grandview Medical Center Hospital, Birmingham, AL, CCN 010104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Cardiovascular Specialists LLC CurrentSince Feb 23, 2021 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Dec 1, 2018 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

510 20th St S
Ofc
Birmingham, AL 35233
Phone (205) 934-6413

2000 6th Ave S
Birmingham, AL 35233
Phone (205) 731-9396

1717 6th Ave S
Birmingham, AL 35233
Phone (205) 934-3450

3680 Grandview Pkwy
Ste 200
Birmingham, AL 35243
Phone (205) 971-7580

7063 Veterans Pkwy
Pell City, AL 35125
Phone (205) 338-3301

Interoperability endpoints

  • Direct secure messaging: kelli.mcconnell.1@9954.direct.athenahealth.com

Organizations & group practices 2

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 1

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": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1780166769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 GRANDVIEW PKWY STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433411",
            "telephone_number": "205-971-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 GRANDVIEW PKWY STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433411",
            "telephone_number": "205-971-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "KELLI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-143427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.