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ALISE TONIA KEEL-PRUITT
NPI 1427917327
Nurse Practitioner in Memphis, TN

Active since January 17, 2026PECOS Enrolled
3030 COVINGTON PIKE STE 200, MEMPHIS, TN 38128(901) 266-8760 Get Directions Write a Review

NPPES record last updated: January 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alise Tonia Keel-pruitt NPPES

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

ALISE TONIA KEEL-PRUITT (NPI 1427917327) is an individual nurse practitioner in Memphis, Tennessee, licensed in Tennessee (2025038902) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Memphis, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1427917327
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameALISE TONIA KEEL-PRUITT
Location Address3030 COVINGTON PIKE STE 200Memphis, TN 38128-5048
Mailing Address3030 Covington Pike Ste 200Memphis, TN 38128-5048 · (901) 266-8760
Phone(901) 266-8760
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 17, 2026
NPPES CertifiedJanuary 17, 2026
✔ NPI 1427917327 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 TN · 2025038902
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.
3030 COVINGTON PIKE STE 200, Memphis, TN 38128
Open in Google Maps ↗

Secondary Practice Location 1

Location 17865 Educators Ln Ste 110Memphis, TN 38133-8191 · Phone (901) 384-9920

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama 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 (PECOS)

Alise Tonia Keel-pruitt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557845005
PECOS Enrollment IDI20260323001755
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 Alise Keel-pruitt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Camellia Foundation
Same address
Family Medicine
3030 COVINGTON PIKE, SUITE 200
Memphis, TN 38128
  • Reassigned Medicare billing, Tennessee enrollment
  • 40 clinicians in this Medicare group
NPI 1609169713 (901) 432-5727

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 38128 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 3

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

ELIANA RAQUEL FAUSEY PA-C
Physician Assistant
3030 COVINGTON PIKE STE 200
MEMPHIS, TN 38128
Shelby County (901) 266-8760
EVELYN HOWARD LCSW, CAAADC
Counselor (Mental Health)
3030 COVINGTON PIKE STE 200
MEMPHIS, TN 38128
Shelby County (901) 266-8760
LIDEADERICK LAMAR GREGORY PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3030 COVINGTON PIKE STE 200
MEMPHIS, TN 38128
Shelby County (901) 266-8760

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 Alise Keel-pruitt's NPI number?

The NPI number for Alise Keel-pruitt is 1427917327. It was assigned to this individual provider in the NPPES registry on January 17, 2026.

Where is Alise Keel-pruitt located?

Alise Keel-pruitt practices at 3030 Covington Pike Ste 200, Memphis, TN 38128. The listed phone number is (901) 266-8760.

What is Alise Keel-pruitt's specialty?

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

Is Alise Keel-pruitt enrolled in Medicare?

Yes. Alise Keel-pruitt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alise Keel-pruitt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alise Keel-pruitt reassigns Medicare benefits to The Camellia Foundation (Memphis, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alise Keel-pruitt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alise Keel-pruitt accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Alise Keel-pruitt 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 Alise Keel-pruitt was last updated on January 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.