Account Bulk check

Alisa Britney Kelley, FNP-C

Nurse Practitioner, Family in Magnolia, MS. Individual provider (NPI-1).

NPI number1023635166
StatusActive
Last updated in NPPESDec 23, 2020

Details

NPI
1023635166
Entity type
Individual (NPI-1)
Name
Alisa Britney Kelley
Credential
FNP-C
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 4, 2020
Certification date
Dec 19, 2020
Last updated
Dec 23, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family903974MSYes

Practice location

120 E Myrtle St
Magnolia, MS 39652-2834

Phone 601-869-7330 · Fax 601-783-5812

Mailing address

120 E Myrtle St
Magnolia, MS 39652-2834

Phone 601-869-7330 · Fax 601-783-5812

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Nurse Practitioner providers in Magnolia, MS

All 5 Family Nurse Practitioner providers in Magnolia · All 56 providers in Magnolia

Checking a whole list?

Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check