MRS. DIANE LEE KELLEY (CRNP) – Family Nurse Practitioner, NPI 1003998873

MRS. DIANE LEE KELLEY (CRNP) is a healthcare provider. based in Florence, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1040028 (AL). The NPI Number for MRS. DIANE LEE KELLEY (CRNP) is 1003998873

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MRS. DIANE LEE KELLEY (CRNP)
NPI
1003998873
Phone
(931) 766-7056
Address
1276 NORTH LOCUST AVE.
Enumeration Date
20 October 2006
Last Update Date
1 December 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
2563834473
Graduation Year
2005 (21 years ago)
PAC ID
5991884553
Group Practice PAC ID
1557406246
Professional Enrollment ID
I20080507000366
Address ID
AL356604000SH342XXBOUL300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for MRS. DIANE LEE KELLEY (CRNP)

  • 1276 NORTH LOCUST AVE.

    FIRST FLOOR SUITE D

    FLORENCE, AL 356334425

    Phone: (931) 766-7056

    Fax: (931) 766-7057

    Type: Mailing

  • 1080 2ND ST

    CHEROKEE, AL 356167328

    Phone: (256) 359-4519

    Fax: (256) 359-4516

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 88 Open Payments records for all available years, with a total value of $2,046.

Total Amount is formed as General ($2,046) + Research ($0) + Ownership ($0) = $2,046.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: ABBVIE INC. ($567).

Total Amount

$2,046

General + Research + Ownership

Payments

88

Total payment records

General Amount

$2,046

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-05-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080507000366INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes398243$0
96372Injection of drug or substance under skin or into muscle17984$0
99214Established patient office or other outpatient visit, 30-39 minutes178162$0
J1885Injection, ketorolac tromethamine, per 15 mg17833$0
J0696Injection, ceftriaxone sodium, per 250 mg13730$0
View full utilization report →

Insurance plans in this area (ZIP 35633)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557406246View full group profile

Reviews

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Frequently asked questions

What identifier follows MRS. DIANE LEE KELLEY (CRNP) across health systems?
The NPI 1003998873 uniquely identifies MRS. DIANE LEE KELLEY (CRNP) in U.S. healthcare data.
Should I treat MRS. DIANE LEE KELLEY (CRNP) as an active provider?
Patients and plans typically see MRS. DIANE LEE KELLEY (CRNP) as active in the national extract.
How should patients interpret MRS. DIANE LEE KELLEY (CRNP)'s specialty?
The extract shows Family Nurse Practitioner for MRS. DIANE LEE KELLEY (CRNP). Clinical services aligned with this taxonomy classification.
What geographic area is tied to MRS. DIANE LEE KELLEY (CRNP)?
MRS. DIANE LEE KELLEY (CRNP) is associated with Florence, Alabama in the same public data insurers reference.
Who maintains MRS. DIANE LEE KELLEY (CRNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.