Individual provider Active NPI

Karen Denise Kelker, CRNP

  • Family Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1992869051
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN116927 Issued in GA
Practice address
3060 Mobile Hwy
Montgomery, AL 36108-4027
Phone
(334) 293-6670
Fax
(334) 293-6668
NPI assigned
Dec 21, 2006
Last updated
Aug 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-034411 AL
Family Nurse Practitioner 363LF0000X RN116927 GA Primary
General Practice Registered Nurse 163WG0000X 1-034411 AL

Addresses

Primary practice location

3060 Mobile Hwy
Montgomery, AL 36108-4027

Mailing address

3060 Mobile Hwy
Montgomery, AL 36108-4027
Phone (334) 293-6670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070301000203 AL Practitioner - Nurse Practitioner 5294837720 Reassigns benefits to 2 organizations
I20070717000403 GA Practitioner - Nurse Practitioner 5294837720 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-034411ALMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince Jul 14, 2007 Accepting new patients
Health Services, Inc. CurrentSince Dec 1, 2020 Accepting new patients
Health Services, Inc Current Accepting new patients
Health Services Inc Current Accepting new patients
Geriatric Associates of Montgomery, PC CurrentSince Jan 2, 2007 Accepting new patients
Health Services Inc CurrentSince Dec 1, 2020 Accepting new patients
Health Services Inc CurrentSince Jan 19, 2021 Accepting new patients
Amedisys Alabama, LLC Past Accepting new patients

Locations

203 N Taylor St
Autaugaville, AL 36003
Phone (334) 263-2301

109 Saint Joseph Ave
Ste 200
Brewton, AL 36426
Phone (251) 809-1717

107 Medical Center Dr
Clanton, AL 35045
Phone (205) 280-1478

511 E Tuskeena St
Hayneville, AL 36040
Phone (334) 548-2516

33 Salem Rd
#2
Montevallo, AL 35115

1230 Carmichael Way
Montgomery, AL 36106
Phone (334) 277-7665

2611 Woodley Park Dr
Montgomery, AL 36116
Phone (334) 288-0009

3058 Mobile Hwy
Montgomery, AL 36108
Phone (334) 293-6670

3060 Mobile Hwy
Montgomery, AL 36108
Phone (334) 293-6400

5095 Peachtree Pkwy
Norcross, GA 30092
Phone (770) 209-9299

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

Organizations & group practices 8

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1992869051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 MOBILE HWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361084027",
            "telephone_number": "334-293-6670",
            "fax_number": "334-293-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 MOBILE HWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361084027",
            "telephone_number": "334-293-6670",
            "fax_number": "334-293-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELKER",
        "first_name": "KAREN",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-034411",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN116927",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "AL",
            "license": "1-034411",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.