Kelley Borella, CRNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

1-098614 Issued in AL

Practice address

1509 6TH Ave S
Birmingham, AL 35233-1601

Phone

(205) 930-3200

Fax

(205) 521-5529

NPI assigned

Jul 4, 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

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

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cooper Green Mercy Health Services Authority an Affiliate of UabGroup PAC ID 0840629473, 95 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Cooper Green Mercy Health Services Authority an Affiliate of Uab

  • Clinic/Center
  • Birmingham, AL
  • NPI 1366073108
  Medicare reassignment Care Compare group NPD
• Cooper Green Mercy Health Services Authority an Affiliate of Uab

  • Clinic Pharmacy
  • Birmingham, AL
  • NPI 1568081644
  NPD
• Jefferson Clinic, P.C.

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1124086509
  NPD (past)
• Jefferson County Commission

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225283518
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1922038751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 MEADOW LAKE DR",
            "address_2": "SUITE 101",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352420301",
            "telephone_number": "205-995-1009",
            "fax_number": "205-995-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 6TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331601",
            "telephone_number": "205-930-3200",
            "fax_number": "205-521-5529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Meadow Lake Dr",
            "address_2": "SUITE 101",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352420301",
            "country_code": "US",
            "telephone_number": "205-995-1009",
            "fax_number": "205-995-1049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORELLA",
        "first_name": "KELLEY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AL",
            "license": "1-098614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194186",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan R Borden, LPC, NCC, NCSC
• Robert Borders Jr., MSW
• Barbara A Boreen, CRNP
• Hannah Chandlee Borek, BCABA, LABA
• Jonathan Borella, CRNP
• Deborah Boren, PHARMD
• Jill Livingston Boren, C.R.N.P.
• Natalie Boren
• Ronald Frederick Borlaza, M.D.
• Marisa Borne, LISW

• Women's Health Nurse Practitioner in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Women's Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.

Verify at the official NPI Registry.