ALEXANDRA AUDIE KELLEY
NPI 1497694996
Registered Nurse - Emergency in Prattville, AL
About Alexandra Audie Kelley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEXANDRA AUDIE KELLEY (NPI 1497694996) is an individual emergency provider in Prattville, Alabama, licensed in Alabama (1-201674) and active in the NPI registry since March 2026. The provider is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 2
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
Alexandra Audie Kelley 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.
Medicare Billing Reassignment
Medicare enrollment records show Alexandra Kelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Prattville, AL 36067
- Reassigned Medicare billing, Alabama enrollment
- Also billed through NPI 1215519418 (Alabama)
- 248 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Alexandra Kelley's NPI number?
The NPI number for Alexandra Kelley is 1497694996. It was assigned to this individual provider in the NPPES registry on March 27, 2026.
Where is Alexandra Kelley located?
Alexandra Kelley practices at 206 Sweetbriar Ln, Prattville, AL 36067. The listed phone number is (334) 546-4354.
What is Alexandra Kelley's specialty?
The primary specialty registered for this NPI is Registered Nurse, specializing in Emergency, with taxonomy code 163WE0003X.
Is Alexandra Kelley enrolled in Medicare?
Yes. Alexandra 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.
Which organization bills Medicare for Alexandra Kelley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Kelley reassigns Medicare benefits to Jackson Hospital And Clinic Inc. (Prattville, AL). 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 Alexandra Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Alexandra Kelley was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Alexandra Audie Kelley · NPI 1497694996
Emergency provider in Prattville, Alabama. Individual provider, active in the CMS NPPES registry since March 27, 2026.
## Identity
- **NPI:** 1497694996 (Entity type: Individual)
- **Enumerated:** March 27, 2026
- **Primary specialty:** Registered Nurse - Emergency · taxonomy 163WE0003X
- **State license:** 1-201674 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 206 SWEETBRIAR LN, Prattville, AL 36067-1934
- **Phone:** (334) 546-4354
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Jackson Hospital And Clinic Inc. (NPI 1811350390, Prattville, AL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** April 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1497694996) · Data from the CMS NPPES public registry.