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MR. CHRISTOPHER W. KELLY FNP-C APRN, MSN, MSM
NPI 1558605337
Nurse Practitioner - Family in Maxwell Afb, AL

Active since November 19, 2012PECOS Enrolled
42D MEDICAL GROUP, 300 S. TWINING ST BLDG 760, MAXWELL AFB, AL 36112(334) 953-5200 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Christopher W. Kelly Fnp-c Aprn, Msn, Msm NPPES

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

MR. CHRISTOPHER W. KELLY FNP-C APRN, MSN, MSM (NPI 1558605337) is an individual family provider in Maxwell Afb, Alabama, licensed in Wyoming (44039) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558605337
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. CHRISTOPHER W. KELLYCredential: FNP-C APRN, MSN, MSM
Location Address42D MEDICAL GROUP, 300 S. TWINING ST BLDG 760Maxwell Afb, AL 36112-6027
Mailing Address300 Twining St Bldg 760Maxwell Afb, AL 36112-6027 · (334) 953-5143
Phone(334) 953-5200
Sole ProprietorNo
Enumeration DateNovember 19, 2012
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 23, 2025
✔ NPI 1558605337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WY · 44039
42D MEDICAL GROUP, Maxwell Afb, AL 36112
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Christopher W. Kelly Fnp-c Aprn, Msn, Msm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36112 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.

Other Providers at the Same Location NPPES 14

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

DR. ROSS MICHAEL CANUP M.D.
Family Medicine
42D MEDICAL GROUP, 300 S. TWINING ST. BLDG 760
MAXWELL AFB, AL 36112
Montgomery County (334) 953-5200
DR. JUSTIN E SANDHOLM O.D.
Optometrist
42D MEDICAL GROUP, 300 SOUTH TWINING STREET, BLDG 760
MONTGOMERY, AL 36112
Montgomery County (334) 953-5200
KATLYN GORGUS
Military Health Care Provider (Independent Duty Medical Technicians)
42D MEDICAL GROUP, 300 S. TWINING ST., BLDG 760
MAXWELL AFB, AL 36112
Montgomery County (580) 481-7082
DR. JOLYN INEZ TATUM PHD
Psychologist (Health)
42D MEDICAL GROUP, 300 S. TWINING ST., BLDG 760
MAXWELL AFB, AL 36112
Montgomery County (334) 953-5200
RANDI HUGHEY LICSW
Social Worker (Clinical)
42D MEDICAL GROUP, 300 S TWINING ST BLDG 760
MAXWELL AFB, AL 36112
Montgomery County (334) 953-3368
MRS. SARAH MILLER LICSW
Social Worker (Clinical)
42D MEDICAL GROUP, 300 S. TWINNING ST. BLDG 760
MAXWELL AFB, AL 36112
Montgomery County (334) 953-5200
JOHN CAMPBELL JR.
Psychologist
42D MEDICAL GROUP, 300 TWINING STREET
MAXWELL AFB, AL 36112
Montgomery County (334) 953-5143
DR. NIKKI LOUISE MOCHKO D.D.S.
Dentist
42D MEDICAL GROUP, 300 S TWINING ST BLDG 760
MAXWELL AFB, AL 36112
Montgomery County (334) 953-5200

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 Christopher Kelly's NPI number?

The NPI number for Christopher Kelly is 1558605337. It was assigned to this individual provider in the NPPES registry on November 19, 2012.

Where is Christopher Kelly located?

Christopher Kelly practices at 42D Medical Group 300 S. Twining St Bldg 760, Maxwell Afb, AL 36112. The listed phone number is (334) 953-5200.

What is Christopher Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Christopher Kelly enrolled in Medicare?

Yes. Christopher Kelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christopher Kelly was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.