KELLEY BROOKE CORL NP-C
NPI 1699374371
Nurse Practitioner in Prescott, AZ

Q: What is Kelley Corl's NPI number?

The NPI number for Kelley Corl is 1699374371. It was assigned to this individual provider in the NPPES registry on October 22, 2020.

Q: What is Kelley Corl'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 Kelley Corl was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 October 22, 2020PECOS Enrolled

3623 CROSSINGS DR STE 206, PRESCOTT, AZ 86305(866) 849-0692(888) 973-8821 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2025, Dec 30, 2024, Dec 6, 2024 and 3 more (6 updates tracked since 2020).

On this page

About Kelley Brooke Corl Np-c NPPES

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

KELLEY BROOKE CORL NP-C (NPI 1699374371) is an individual nurse practitioner in Prescott, Arizona, licensed in Arizona (RNP248594) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and maintains 10 additional practice locations.

NPPES Registry Identity

NPI1699374371

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKELLEY BROOKE CORLCredential: NP-C

Location Address3623 CROSSINGS DR STE 206Prescott, AZ 86305-7101

Mailing AddressPo Box 211699Eagan, MN 55121-3699 · (866) 849-0692 · Fax (888) 973-8821

Phone(866) 849-0692

Fax(888) 973-8821

Sole ProprietorNo

Enumeration DateOctober 22, 2020

Last NPPES UpdateMay 12, 20256 updates tracked since enumeration

NPPES CertifiedMay 12, 2025

✔ NPI 1699374371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in AZ · RNP248594✔ Licensed in CO · C-APN.0103359-C-NP

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.

3623 CROSSINGS DR STE 206, Prescott, AZ 86305

Open in Google Maps ↗

Secondary Practice Locations 10

Location 12122 E Highland Ave Ste 265Phoenix, AZ 85016-4779 · Phone (833) 696-3349

Location 23805 E Bell Rd Ste 5600Phoenix, AZ 85032-2190 · Phone (833) 696-3349

Location 34400 N 32nd St Ste 150Phoenix, AZ 85018-3977 · Phone (833) 696-3349

Location 43805 E Bell Rd Ste 2400Phoenix, AZ 85032-2181 · Phone (833) 696-3349

Location 55601 W Eugie Ave Ste 211Glendale, AZ 85304-1258 · Phone (833) 696-3349

Location 65605 W Eugie Ave Ste 210Glendale, AZ 85304-1275 · Phone (833) 696-3349

Location 72918 W Ina Rd Ste 100Tucson, AZ 85741-2429 · Phone (833) 696-3349

Location 816435 N Scottsdale Rd Ste 285Scottsdale, AZ 85254-1680 · Phone (866) 849-0692

Location 93800 W Ray Rd Ste 21Chandler, AZ 85226-5940 · Phone (833) 696-3349

Location 107406 N La Cholla BlvdTucson, AZ 85741-2306 · Phone (833) 696-3349

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelley Brooke Corl Np-c 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 86305 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 18

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

ROBERT WOLFE FNP

Nurse Practitioner (Family)