ALISA BRITNEY KELLEY FNP-C
NPI 1023635166
Nurse Practitioner - Family in Magnolia, MS

Active since July 04, 2020PECOS EnrolledAccepts Medicare Assignment
120 E MYRTLE ST, MAGNOLIA, MS 39652(601) 869-7330(601) 783-5812 Get Directions Write a Review

NPPES record last updated: December 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 23, 2020, Jul 4, 2020 (2 updates tracked since 2020).

About Alisa Britney Kelley Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALISA BRITNEY KELLEY FNP-C (NPI 1023635166) is an individual family provider in Magnolia, Mississippi, licensed in Mississippi (903974) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Beacham Memorial Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1023635166
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALISA BRITNEY KELLEYCredential: FNP-C
Location Address120 E MYRTLE STMagnolia, MS 39652-2834
Mailing Address120 E Myrtle StMagnolia, MS 39652-2834 · (601) 869-7330 · Fax (601) 783-5812
Fax(601) 783-5812
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 4, 2020
Last NPPES UpdateDecember 23, 20202 updates tracked since enumeration
NPPES CertifiedDecember 19, 2020
NPI 1023635166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · 903974
120 E MYRTLE ST, Magnolia, MS 39652

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alisa Britney Kelley Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547675316
PECOS Enrollment IDI20210209002610
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beacham Memorial Hospital

Acute Care Hospitals · Magnolia, MS
OwnershipProprietary
CMS Certification Number250049
Location205 N Cherry Street / PO Box 351Magnolia, MS 39652 · Pike County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39652 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
1 supplier13 claims1,560 services$0.09 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier12 claims12 services$23.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rural Health)
120 E MYRTLE ST
MAGNOLIA, MS 39652
Nurse Practitioner (Psychiatric/Mental Health)
120 E MYRTLE ST
MAGNOLIA, MS 39652

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alisa Kelley's NPI number?

The NPI number for Alisa Kelley is 1023635166. It was assigned to this individual provider in the NPPES registry on July 4, 2020.

Where is Alisa Kelley located?

Alisa Kelley practices at 120 E Myrtle St, Magnolia, MS 39652. The listed phone number is (601) 869-7330.

What is Alisa Kelley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Alisa Kelley enrolled in Medicare?

Yes. Alisa Kelley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alisa Kelley accept?

Health plans from Molina Healthcare list Alisa Kelley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Alisa Kelley affiliated with any hospitals?

According to CMS data, Alisa Kelley is affiliated with Beacham Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Alisa Kelley was last updated on December 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.