Joan Frances Kelley, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

058696 Issued in MO

Practice address

1870 Bagnell Dam Blvd
Lake Ozark, MO 65049-8658

Phone

(573) 365-2318

Fax

(573) 365-3009

NPI assigned

Aug 8, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

94.19 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Cost

75.51

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1881604585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 HOSPITAL DR",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653050",
            "telephone_number": "573-348-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 BAGNELL DAM BLVD",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "650498658",
            "telephone_number": "573-365-2318",
            "fax_number": "573-365-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "JOAN",
        "middle_name": "FRANCES",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "058696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428261952",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel R Imperato, CFNP
• Karen L. Jenkins
• Lori Ann Jones
• Amber Dawn Jordan
• Daniel Kays
• Andrew Kempker
• Courtney Marie Kempker, MED, LPC
• Landon Lee Kirk, MSW, LCSW
• Kimberly Dawn Kucsik, LCSW
• Scott Kuenneke, MS, LPC, BCN

• Family Nurse Practitioner in Lake Ozark, MO
• Providers in Lake Ozark, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.