KELLY LYNN SPARKS WHITE CRNP
NPI 1083378509
Nurse Practitioner - Family in Huntsville, AL

Q: What is Kelly White's NPI number?

The NPI number for Kelly White is 1083378509. It was assigned to this individual provider in the NPPES registry on October 30, 2021.

Q: What is Kelly White's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly White was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.

Active since October 30, 2021PECOS Enrolled

635 DISCOVERY DR NW, HUNTSVILLE, AL 35806(256) 428-7560(256) 428-7561 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 2, 2026, Jul 13, 2026, Mar 15, 2026 and 1 more (4 updates tracked since 2025).

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About Kelly Lynn Sparks White Crnp NPPES

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

KELLY LYNN SPARKS WHITE CRNP (NPI 1083378509) is an individual family provider in Huntsville, Alabama, licensed in Alabama (1-150754) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1083378509

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLY LYNN SPARKS WHITECredential: CRNP

Location Address635 DISCOVERY DR NWHuntsville, AL 35806-2801

Mailing Address635 Discovery Dr NwHuntsville, AL 35806-2801 · (256) 428-7560 · Fax (256) 428-7561

Phone(256) 428-7560

Fax(256) 428-7561

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 30, 2021

Last NPPES UpdateSeptember 2, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 2, 2026

✔ NPI 1083378509 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 AL · 1-150754

635 DISCOVERY DR NW, Huntsville, AL 35806

Open in Google Maps ↗

Secondary Practice Locations 4

Location 13112 Meridian St NHuntsville, AL 35811-1539 · Phone (256) 428-7110 · Fax (256) 428-7561

Location 24801 Bob Wallace Ave SWHuntsville, AL 35805-3308 · Phone (256) 428-7488 · Fax (256) 428-7561

Location 32755 Wilson Dr NWHuntsville, AL 35816-3949 · Phone (256) 428-7428 · Fax (256) 428-7561

Location 411588 Pulaski PikeToney, AL 35773-9381 · Phone (256) 693-1006 · Fax (256) 428-7561

Other Identifiers 5

Medicaid276573AL

Medicaid277515AL

Medicaid321451AL

Medicaid276227AL

Medicaid276564AL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Lynn Sparks White Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557839560

PECOS Enrollment IDI20260507004067

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.

Medicare Billing Reassignment

Medicare enrollment records show Kelly White reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Heals Inc

Same address

Pediatrics

635 DISCOVERY DR NW
Huntsville, AL 35806

Reassigned Medicare billing, Alabama enrollment
10 clinicians in this Medicare group

NPI 1932255924 (256) 428-7560

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35806 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

Other Providers at the Same Location NPPES 9

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

MS. KATHERINE LEIGH BYRD NP

Nurse Practitioner (Pediatrics)