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Deactivated NPI 1164501904 Deactivated / Inactive NPI Female Practitioner

Jane Kelly , CRNP

Nurse Practitioner • Pine Apple, AL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jane Kelly has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 03, 2006
NPI Deactivation Date November 01, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Jane Kelly, CRNP was a registered Nurse Practitioner practicing in Pine Apple, AL. Throughout an active medical career spanning 17 years, Jane Kelly provided care at the practice location at 867 COUNTY ROAD 59 until profile deactivation on 2023-11-01.

Practice Location & Contact Primary Location

Practice Address

867 County Road 59

Pine Apple, AL 367683525

Telephone 2517462197
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Pine Apple, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Pine Apple, AL (1475 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License AL 1022936

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Roseanne Cook , MD

Family Medicine

NPI 1568541720

Doctor of Medicine (M.D.)

Marlo Wolff

Nurse Practitioner - Family

NPI 1619357381
Jackie Dixon , CRNP

Nurse Practitioner

NPI 1831614452

Certified Registered Nurse Practitioner

Allison Owens , CRNP

Nurse Practitioner - Family

NPI 1952951584

Certified Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 01, 2023

Record deactivated on November 01, 2023

NPI Profile Active December 09, 2011

NPI status registered as active in NPPES database

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Updated Practice Location December 09, 2011

Registered at 867 COUNTY ROAD 59, PINE APPLE, AL 367683525 (Tel: 2517462197)

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Updated Business Mailing Address December 09, 2011

Registered at PO BOX 2213, SELMA, AL 367022213 (Tel: 2517462197)

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Provider Name / Credentials Updated December 09, 2011

Recorded as JANE KELLY, CRNP

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2011

Nurse Practitioner (License #1022936 in AL)

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Initial NPI Registration & Enumeration November 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164501904
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2006
Last Update: December 09, 2011
Deactivation Date: November 01, 2023

Mailing Address

Po Box 2213

Selma, AL 367022213

Phone: 2517462197

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.