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MRS. KELLY CAY LAMBETH ARNP
NPI 1215232343
Nurse Practitioner in Spanish Fort, AL

Active since January 20, 2011PECOS EnrolledAccepts Medicare Assignment
90.14/100
CMS Quality Rating
30500 STATE HIGHWAY 181 STE 450, SPANISH FORT, AL 36527(251) 626-6757(251) 626-6758 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 24, 2022, Aug 27, 2019 (2 updates tracked since 2019).

About Mrs. Kelly Cay Lambeth Arnp NPPES

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

MRS. KELLY CAY LAMBETH ARNP (NPI 1215232343) is an individual nurse practitioner in Spanish Fort, Alabama, licensed in Alabama (1107689) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1215232343
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. KELLY CAY LAMBETHCredential: ARNP
Location Address30500 STATE HIGHWAY 181 STE 450Spanish Fort, AL 36527-5824
Mailing Address30500 State Highway 181 Ste 450Spanish Fort, AL 36527-5824 · (251) 626-6757 · Fax (251) 626-6758
Phone(251) 626-6757
Fax(251) 626-6758
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJanuary 20, 2011
Last NPPES UpdateJanuary 24, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2022
✔ NPI 1215232343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AL · 1107689
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.
30500 STATE HIGHWAY 181 STE 450, Spanish Fort, AL 36527
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter 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

Mrs. Kelly Cay Lambeth Arnp 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 ID6608023122
PECOS Enrollment IDI20120905000577
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 5

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
2,475 services274 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,542 services255 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
90 services41 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
60 services34 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36527 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.69
Promoting Interoperability99
Improvement Activities40
Cost46.01

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
2%86 patients1/55-star benchmark: 100%
Breast Cancer Screening
90%397 patients4/55-star benchmark: 93%
Cervical Cancer Screening
84%926 patients4/55-star benchmark: 98%
Chlamydia Screening for Women
18%152 patients
Closing the Referral Loop: Receipt of Specialist Report
40%410 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
65%855 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
66%466 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
28%334 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
36%7,532 patients1/55-star benchmark: 100%
e-Prescribing
99%4,557 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
1%706 patients1/55-star benchmark: 100%
HIV Screening
48%1,614 patients4/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
22%2,236 patients1/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 38% · 1,588 patients
Patients screened: 43% · 1,588 patients
20%95 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
74%2,043 patients3/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 692 patients
Patients totalRate: 5% · 724 patients
3%724 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. LESLIE RICHERSON BUCKLEY DMD
Dentist (General Practice)
30500 STATE HIGHWAY 181 STE 450
SPANISH FORT, AL 36527
Baldwin County (251) 625-1908
MRS. MITZI MONIQUE THOMPSON NP
Nurse Practitioner (Women's Health)
30500 STATE HIGHWAY 181 STE 450
SPANISH FORT, AL 36527
Baldwin County (251) 626-6757

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 Kelly Lambeth's NPI number?

The NPI number for Kelly Lambeth is 1215232343. It was assigned to this individual provider in the NPPES registry on January 20, 2011.

Where is Kelly Lambeth located?

Kelly Lambeth practices at 30500 State Highway 181 Ste 450, Spanish Fort, AL 36527. The listed phone number is (251) 626-6757.

What is Kelly Lambeth's specialty?

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

Is Kelly Lambeth enrolled in Medicare?

Yes. Kelly Lambeth 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 Kelly Lambeth accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Oscar Insurance Company and 1 other insurer list Kelly Lambeth 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 Kelly Lambeth was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.