Individual provider Active NPI

Joni Kelley, CRNP

  • Family Nurse Practitioner
  • Boaz, AL
National Provider Identifier
1851023543
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-164160 Issued in AL
Practice address
2986 US Highway 431
Boaz, AL 35957-5848
Phone
(256) 840-8181
NPI assigned
Jun 30, 2022
Last updated
Jun 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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 1-164160 AL Primary

Addresses

Primary practice location

2986 US Highway 431
Boaz, AL 35957-5848

Mailing address

2986 US Highway 431
Boaz, AL 35957-5848

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
I20230202001879 AL Practitioner - Nurse Practitioner 0840662797 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of Alabama LLCGroup PAC ID 2264681220, 25 clinicians

Practice addresses (Care Compare)

1 Perimeter Park S
Suite 100N
Birmingham, AL 35243-3248
Phone (877) 260-4747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-164160ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Doctors Family Medical Center LLC CurrentSince Nov 8, 2022 Accepting new patients
Curana Health of Alabama LLC CurrentSince Apr 3, 2024 Accepting new patients
Gana Holdings, LLC CurrentSince Sep 17, 2022 Accepting new patients
Magnolia Medical LLC Family CurrentSince Nov 8, 2022 Accepting new patients

Locations

1 Perimeter Park S
Ste 100N
Mountain Brook, AL 35243
Phone (205) 936-2356

2820 AL Highway 68 W
Sandrock, AL 35983
Phone (256) 490-7339

180 Medical St
Snead, AL 35952
Phone (205) 386-4341

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1851023543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2986 US HIGHWAY 431",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2986 US HIGHWAY 431",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575848",
            "telephone_number": "256-840-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "JONI",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-164160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boaz, AL

Sources for this page

Verify at the official NPI Registry.