Active NPI
Kelli A L King, APRN
- Primary Care Nurse Practitioner
- North Platte, NE
National Provider Identifier
1841357076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 110673
- Practice address
- 1021 S Cottonwood St
North Platte, NE 69101-6138 - Phone
- (308) 534-4438
- Fax
- (308) 534-4190
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 110673 | NE | Primary |
Addresses
Primary practice location
1021 S Cottonwood St
North Platte, NE 69101-6138
Mailing address
1021 S Cottonwood St
North Platte, NE 69101-6138
Phone (308) 534-4438
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DV8242 | Other | NE | MEDICARE RR FOR BUSINESS |
| 100264810-00 | Medicaid | NE | |
| P01500120 | Other | NE | MEDICARE RR FOR KELLI |
| 38966 | Other | BCBS PROVIDER# |
Other names 1
- Kelli A King
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Nebraska College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1021 S Cottonwood St
Precise Family Care
North Platte, NE 69101-6138
Phone (308) 534-4438
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precise Family Care, PC | Current | Accepting new patients | |
| Sandhills Wellness and Education Center | Past | Accepting new patients | |
| Susan M Schuckert MD PC | Past | Accepting new patients |
Locations
1021 S Cottonwood St
North Platte, NE 69101
Phone (308) 532-2366
Interoperability endpoints
- kelli.king.2@14940.direct.athenahealth.com
- kelli.king.1@14940.direct.athenahealth.com
- kelli.king.1@20827.direct.athenahealth.com
- https://api.platform.athenahealth.com/20827/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Family Nurse Practitioner
- North Platte, NE
- NPI 1992182620
-
- Mental Health Counselor
- Ogallala, NE
- NPI 1568619633
-
- Internal Medicine Physician
- North Platte, NE
- NPI 1518151323
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- North Platte, NE
- NPI 1700855533
-
- Clinical Medical Laboratory
- North Platte, NE
- NPI 1902660509
Hospital
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1356307581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1841357076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 S COTTONWOOD ST",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691016138",
"telephone_number": "308-534-4438",
"fax_number": "308-534-4190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 S COTTONWOOD ST",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691016138",
"telephone_number": "308-534-4438",
"fax_number": "308-534-4190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "KELLI",
"middle_name": "A L",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NE",
"license": "110673",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR FOR BUSINESS",
"identifier": "DV8242",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100264810-00",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR FOR KELLI",
"identifier": "P01500120",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER#",
"identifier": "38966",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KELLI",
"last_name": "KING",
"middle_name": "A",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in North Platte, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.