KELLY BROOKE ENGELMANN CFNP
NPI 1710096656
Nurse Practitioner - Family in Jackson, MS

Q: What is Kelly Engelmann's NPI number?

The NPI number for Kelly Engelmann is 1710096656. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Kelly Engelmann's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Engelmann was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 August 30, 2006PECOS Enrolled

1855 LAKELAND DR, STE. M20, JACKSON, MS 39216(601) 364-1132(601) 364-1134 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Kelly Brooke Engelmann Cfnp NPPES

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

KELLY BROOKE ENGELMANN CFNP (NPI 1710096656) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (R805546) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710096656

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLY BROOKE ENGELMANNCredential: CFNP

Location Address1855 LAKELAND DR, STE. M20Jackson, MS 39216-4913

Mailing Address105 Honeybee CvBrandon, MS 39047-7703 · (601) 862-1404

Phone(601) 364-1132

Fax(601) 364-1134

Sole ProprietorYes

Enumeration DateAugust 30, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1710096656 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 MS · R805546

1855 LAKELAND DR, Jackson, MS 39216

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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)

Kelly Brooke Engelmann Cfnp 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 39216 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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 17

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

MRS. DENEASE INEZ BISHOP LPC, LMFT

Counselor (Professional)

1855 LAKELAND DR, SUITE P101
JACKSON, MS 39216

Hinds County (601) 278-6790

HART KATHERINE WYLIE PMHNP, LPC

Nurse Practitioner (Psychiatric/Mental Health)

1855 LAKELAND DR, SUITE P-121
JACKSON, MS 39216

Hinds County (601) 366-4696

LISA L DALTON NP

Nurse Practitioner (Family)

1855 LAKELAND DR, STE M20
JACKSON, MS 39216

Hinds County (601) 364-1132

EMILY GOEGLEIN

Counselor (Professional)

1855 LAKELAND DR
JACKSON, MS 39216

Hinds County (601) 366-4696

PORTABLE MEDICAL DIAGNOSTICS LLC

Clinic/Center (Radiology, Mobile)

1855 LAKELAND DR, STE G10
JACKSON, MS 39216

Hinds County (601) 987-9729

BYRON GALLOWAY LMFT

Marriage & Family Therapist

1855 LAKELAND DR, SUITE R-204
JACKSON, MS 39216

Hinds County (601) 982-5376

DR. DOUGLAS WILLIAM BYRD M.D.

Psychiatry & Neurology (Psychiatry)

1855 LAKELAND DR, SUITE P-231
JACKSON, MS 39216

Hinds County (601) 366-4696

MRS. ELIZABETH P TAYLOR M.S., LPC

Counselor

1855 LAKELAND DR, SUITE P121
JACKSON, MS 39216

Hinds County (601) 209-4789

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 Kelly Engelmann's NPI number?

The NPI number for Kelly Engelmann is 1710096656. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Kelly Engelmann located?

Kelly Engelmann practices at 1855 Lakeland Dr Ste. M20, Jackson, MS 39216. The listed phone number is (601) 364-1132.

What is Kelly Engelmann's specialty?

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

Is Kelly Engelmann enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelly Engelmann was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.