MACI ALEXANDRIA KELLEY FNP-C NPI 1942962519

NPI Information

  • NPI: 1942962519
  • Provider Name: MACI ALEXANDRIA KELLEY, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1404 TUSCULUM BLVD STE 2200
    GREENEVILLE, TN
    ZIP 37745
  • Phone: (423) 783-5520

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NPI Details

Maci Alexandria Kelley, FNP-C is a family nurse practitioner in Greeneville, TN with 4 years of experience. Maci Alexandria Kelley, FNP-C NPI is 1942962519. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1404 TUSCULUM BLVD STE 2200
GREENEVILLE, TN
ZIP 37745-395
Phone: (423) 783-5520
Fax: (423) 738-5596

The NPI 1942962519 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Testing for presence of drug, read by direct observation (HCPCS:80305)

The enumeration date for this NPI number is 10/11/2021 and was last updated on 2/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily30496TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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