Individual provider Active NPI

Jennifer A Kalen, ARNP

  • Family Nurse Practitioner
  • Peachtree City, GA
National Provider Identifier
1871521948
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN189926 Issued in GA
Practice address
145 Governors SQ Ste a
Peachtree City, GA 30269-4861
Phone
(404) 585-7563
Fax
(404) 986-8786
NPI assigned
Jun 29, 2006
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4921P KY
Family Nurse Practitioner 363LF0000X RN189926 GA Primary

Addresses

Primary practice location

145 Governors SQ Ste a
Peachtree City, GA 30269-4861

Mailing address

145 Governors SQ Ste a
Peachtree City, GA 30269-4861
Phone (404) 585-7563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2025 through Apr 1, 2027

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laboratory Fitness LLCGroup PAC ID 1052858628, 45 clinicians

Practice addresses (Care Compare)

401 Dividend Dr
Peachtree City, GA 30269-1939
Phone (678) 506-1236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4921PKYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NM Heart Emergency Physicians LLC Past Accepting new patients
Northern Kentucky Heart PSC Past Accepting new patients
Myo Cardiovascular Clinic LLC. Past Accepting new patients

Organizations & group practices 4

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1871521948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 GOVERNORS SQ STE A",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694861",
            "telephone_number": "404-585-7563",
            "fax_number": "404-986-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 GOVERNORS SQ STE A",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694861",
            "telephone_number": "404-585-7563",
            "fax_number": "404-986-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALEN",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4921P",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN189926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

Verify at the official NPI Registry.