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MICALYN KELLEY APRN
NPI 1205588803
Nurse Practitioner in Andalusia, AL

Active since January 25, 2022PECOS EnrolledAccepts Medicare Assignment
109 OPP AVE, ANDALUSIA, AL 36420(850) 444-4700(850) 444-7497 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 9, 2025, Jan 25, 2022 (2 updates tracked since 2022).

About Micalyn Kelley Aprn NPPES

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

MICALYN KELLEY APRN (NPI 1205588803) is an individual nurse practitioner in Andalusia, Alabama, licensed in Alabama (1-123835) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2021).

NPPES Registry Identity

NPI1205588803
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMICALYN KELLEYCredential: APRN
Location Address109 OPP AVEAndalusia, AL 36420-3812
Mailing AddressPo Box 11037Pensacola, FL 32524-1037 · (850) 444-4700 · Fax (850) 444-7497
Phone(850) 444-4700
Fax(850) 444-7497
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2021
Enumeration DateJanuary 25, 2022
Last NPPES UpdateApril 9, 20252 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1205588803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in AL · 1-123835✔ Licensed in FL · APRN11017793
Definition
(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.
109 OPP AVE, Andalusia, AL 36420
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Blue Cross and Blue Shield of Alabama and more.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

Micalyn Kelley Aprn 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 ID8628461712
PECOS Enrollment IDI20220214001653, I20220412000904
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
329 services214 patients
Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
129 services30 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
45 services45 patients
Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour G0420
This service involves one-on-one educational sessions about managing chronic kidney disease. Each session lasts about an hour. Topics can include understanding the disease, dietary changes, medication management, and lifestyle modifications to help control the condition.
20 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36420 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.

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 Micalyn Kelley's NPI number?

The NPI number for Micalyn Kelley is 1205588803. It was assigned to this individual provider in the NPPES registry on January 25, 2022.

Where is Micalyn Kelley located?

Micalyn Kelley practices at 109 Opp Ave, Andalusia, AL 36420. The listed phone number is (850) 444-4700.

What is Micalyn Kelley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Micalyn Kelley enrolled in Medicare?

Yes. Micalyn 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 Micalyn Kelley accept?

Health plans from Ambetter Health, Ambetter of Alabama, Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Micalyn 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.

When was this NPI record last updated?

The NPPES record for Micalyn Kelley was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.