Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154684363 Individual Practitioner Female Practitioner

Kelli S Fewell , NNP

Nurse Practitioner • Magee, MS

Professional Overview & Biography Verified Profile Summary

Kelli Fewell, NNP is a registered healthcare professional specializing in Nurse Practitioner in Magee, MS. Practice services are available at 610 3RD ST SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

610 3rd St Sw

Magee, MS 391113994

Telephone 6014397221
Fax 6017211773
Associated Practice Facility / Clinic
🏢 The Pedz Clinic Facility NPI 1538675798

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Magee, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Magee, MS (1098 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

CMS Verified: 2024-05-23
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MS R879688

(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.

Nurse Practitioner - Neonatal

NUCC Taxonomy Code: 363LN0000X

State License MS R879688

Definition to come...

Nurse Practitioner - Neonatal, Critical Care

NUCC Taxonomy Code: 363LN0005X

State License MS R879688

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
04038362 (MS)
Medicaid State Provider ID
004038362 (MS)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Brianna Mccue , NP

Nurse Practitioner - Pediatrics

NPI 1083207005

Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location May 23, 2024

Registered at 610 3RD ST SW, MAGEE, MS 391113994 (Tel: 6014397221)

📍
Updated Business Mailing Address May 23, 2024

Registered at 610 3RD ST SW, MAGEE, MS 391113994 (Tel: 6014397221)

NPI Profile Active April 16, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 16, 2015

Registered at 5 RIVER BEND PLACE, SUITE C, FLOWOOD, MS 39232 (Tel: 6019577345)

📍
Updated Business Mailing Address April 16, 2015

Registered at P O BOX 320039, FLOWOOD, MS 39232 (Tel: 6019577345)

👤
Provider Name / Credentials Updated April 16, 2015

Recorded as KELLI FEWELL, NNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2015

Nurse Practitioner (License #R879688 in MS)

🟢
Initial NPI Registration & Enumeration June 21, 2012

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: 1154684363
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2012
Last Update: May 23, 2024
Sole Proprietor: No

Mailing Address

610 3rd St Sw

Magee, MS 391113994

Phone: 6014397221

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.