Individual provider Active NPI

Kelsee Breann Green, CRNP

  • Nurse Practitioner
  • Elba, AL
National Provider Identifier
1982397725
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-153377 Issued in AL
Practice address
918 Drayton Ave
Elba, AL 36323-1448
Phone
(334) 493-5713
NPI assigned
May 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-153377 AL Primary

Addresses

Primary practice location

918 Drayton Ave
Elba, AL 36323-1448

Mailing address

1875 Woodland Dr
Elba, AL 36323-3023

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
I20230612000746 AL Practitioner - Nurse Practitioner 5890152532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dayspring Hospice, LLCGroup PAC ID 6608786561, 2 clinicians

Practice addresses (Care Compare)

100 Professional LN
Enterprise, AL 36330-2393
Phone (334) 347-2999

Hospital & facility affiliations

  • Mizell Memorial Hospital Hospital, Opp, AL, CCN 010007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dayspring Hospice, LLC CurrentSince Jun 1, 2023 Accepting new patients

Locations

100 Professional Ln
Enterprise, AL 36330
Phone (334) 347-2999

206 N 2100 W
Ste 202
Slc, UT 84116
Phone (801) 325-0175

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1982397725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 WOODLAND DR",
            "city": "ELBA",
            "state": "AL",
            "postal_code": "363233023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 DRAYTON AVE",
            "city": "ELBA",
            "state": "AL",
            "postal_code": "363231448",
            "telephone_number": "334-493-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "KELSEE",
        "middle_name": "BREANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-29",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-153377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elba, AL

Sources for this page

Verify at the official NPI Registry.