Individual provider Active NPI

Kelly C Key, FNP

  • Family Nurse Practitioner
  • Mount Airy, NC
National Provider Identifier
1932580248
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5007661 Issued in NC
Practice address
905 Rockford St
Mount Airy, NC 27030-5323
Phone
(336) 719-2440
Fax
(336) 719-6915
NPI assigned
Jun 11, 2015
Last updated
Oct 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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 5007661 NC Primary

Addresses

Primary practice location

905 Rockford St
Mount Airy, NC 27030-5323

Mailing address

PO Box 249
Yadkinville, NC 27055-0249
Phone (336) 679-4963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20150807013063 NC Practitioner - Nurse Practitioner 4284948068 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forsyth Emergency Services, P.a.Group PAC ID 1153358171, 24 clinicians

Practice addresses (Care Compare)

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 765-9328

Merit-based Incentive Payment System (MIPS)

Final score
92.52 of 100Reported as group
Quality
83.13
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5007661NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson County Hospital Corporation CurrentSince Jan 1, 2017 Accepting new patients
Tanglewood Park Physicians, PLLC CurrentSince Sep 10, 2022 Accepting new patients
Piedmont Triad Physicians, PLLC CurrentSince Sep 10, 2022 Accepting new patients
Yadkin Emergency Physicians, PLLC CurrentSince Oct 10, 2021 Accepting new patients
Henderson County Hospital Corporation CurrentSince Jan 1, 2017 Accepting new patients
BRMG-PC CurrentSince Jun 15, 2015 Accepting new patients
Forsyth Emergency Services, P.a. CurrentSince Jun 12, 2017 Accepting new patients
DRX High Point, PLLC CurrentSince Nov 11, 2022 Accepting new patients
Kernersville Emergency Group, PLLC CurrentSince Sep 10, 2022 Accepting new patients
Robeson Emergency Physicians, PLLC CurrentSince May 15, 2023 Accepting new patients

Locations

21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394

6915 Village Medical Cir
Clemmons, NC 27012
Phone (336) 718-1680

180 Parkwood Dr
Elkin, NC 28621
Phone (336) 527-7000

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

1231 Eastchester Dr
High Point, NC 27265
Phone (336) 884-4050

2305 N Main St
High Point, NC 27262
Phone (336) 884-4050

1750 Kernersville Medical Pkwy
Kernersville, NC 27284
Phone (336) 564-4000

300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000

905 Rockford St
Mount Airy, NC 27030
Phone (336) 719-2440

2913 Wake Forest Rd
Raleigh, NC 27609
Phone (404) 960-9857

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 10

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": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1932580248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270550249",
            "telephone_number": "336-679-4963",
            "fax_number": "336-679-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 ROCKFORD ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270305323",
            "telephone_number": "336-719-2440",
            "fax_number": "336-719-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEY",
        "first_name": "KELLY",
        "middle_name": "C",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5007661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

Verify at the official NPI Registry.