KELEY BRENNAN
NPI 1386480192
Nurse Practitioner in Mooresville, NC

Q: What is Keley Brennan's NPI number?

The NPI number for Keley Brennan is 1386480192. It was assigned to this individual provider in the NPPES registry on July 2, 2024.

Q: What is Keley Brennan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Keley Brennan was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 02, 2024PECOS EnrolledAccepts Medicare Assignment

417 E STATESVILLE AVE, MOORESVILLE, NC 28115(704) 663-3063 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2024, Jul 2, 2024 (2 updates tracked since 2024).

On this page

About Keley Brennan NPPES

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

KELEY BRENNAN (NPI 1386480192) is an individual nurse practitioner in Mooresville, North Carolina, licensed in North Carolina (5020475) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Lake Norman Regional Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1386480192

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKELEY BRENNAN

Location Address417 E STATESVILLE AVEMooresville, NC 28115-2590

Mailing Address417 E Statesville AveMooresville, NC 28115-2590 · (704) 663-3063

Phone(704) 663-3063

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 2, 2024

Last NPPES UpdateJune 11, 20262 updates tracked since enumeration

NPPES CertifiedJune 11, 2026

✔ NPI 1386480192 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 NC · 5020475

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.

417 E STATESVILLE AVE, Mooresville, NC 28115

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Keley Brennan 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 ID4981135183

PECOS Enrollment IDI20240928000397

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 Reassignments

Medicare enrollment records show Keley Brennan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Duke Health Integrated Practice, Inc.

3.5 mi

Family Medicine

131 MEDICAL PARK RD STE 302
Mooresville, NC 28117

Reassigned Medicare billing, North Carolina enrollment
3,671 clinicians in this Medicare group

NPI 1760288633 (704) 660-4750

Pacs, PC

34 mi

Family Medicine

10021 PARK CEDAR DR STE 200
Charlotte, NC 28210

Reassigned Medicare billing, North Carolina enrollment
16 clinicians in this Medicare group

NPI 1790179505 (704) 438-9383

Curana Health Of North Carolina PLLC

106 mi

Internal Medicine

5306 NC HIGHWAY 55 STE 105
Durham, NC 27713

Reassigned Medicare billing, North Carolina enrollment
338 clinicians in this Medicare group

NPI 1770217176 (337) 408-0797

Physicians Eldercare PA

106 mi

General Practice

5306 NC HIGHWAY 55 STE 105
Durham, NC 27713

Reassigned Medicare billing, North Carolina enrollment
365 clinicians in this Medicare group

NPI 1023083268 (337) 991-9276

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

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.

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.

123 services65 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

111 services65 patients

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.

98 services44 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.

19 services18 patients

Hospital Affiliations CMS Care Compare

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

Lake Norman Regional Medical Center

Acute Care Hospitals · Mooresville, NC

2/5 CMS rating

OwnershipProprietary

CMS Certification Number340129

Location171 Fairview RoadMooresville, NC 28117 · Iredell County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28115 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 7

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

THOMAS EMIL GROSS M.D.

Family Medicine (Geriatric Medicine)