KELLYN V MCMAHON (CRNP) – Family Nurse Practitioner, NPI 1629376611

KELLYN V MCMAHON (CRNP) is a healthcare provider. based in Homewood, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-117863 (AL). The NPI Number for KELLYN V MCMAHON (CRNP) is 1629376611

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
KELLYN V MCMAHON (CRNP)
NPI
1629376611
Phone
(205) 226-5900
Address
35 W LAKESHORE DR
Enumeration Date
1 March 2011
Last Update Date
26 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2054810034
Graduation Year
2010 (16 years ago)
PAC ID
7618154501
Group Practice PAC ID
1557330859
Professional Enrollment ID
I20110601000524
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for KELLYN V MCMAHON (CRNP)

  • 35 W LAKESHORE DR

    HOMEWOOD, AL 352097253

    Phone: (205) 226-5900

    Fax: (205) 226-5937

    Type: Mailing

  • 1770 INDEPENDENCE CT

    VESTAVIA HILLS, AL 352161259

    Phone: (205) 226-5900

    Fax: (205) 226-5937

    Type: Mailing

  • 7 HUDDLE DR STE 100

    BIRMINGHAM, AL 352420313

    Phone: (205) 226-5900

    Fax: (205) 226-5937

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $8,946.

Total Amount is formed as General ($8,946) + Research ($0) + Ownership ($0) = $8,946.

Last reported payment date: 2024-05-16 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($4,359).

Total Amount

$8,946

General + Research + Ownership

Payments

41

Total payment records

General Amount

$8,946

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-16

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: 2011-06-01

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
I20110601000524INurse 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
90961Dialysis services, 2-3 physician visits per month (20 years or older)3319$0
99214Established patient office or other outpatient visit, 30-39 minutes3333$0
99213Established patient office or other outpatient visit, 20-29 minutes3232$0
90962Dialysis services, 1 physician visit per month (20 years or older)1711$0
View full utilization report →

Insurance plans in this area (ZIP 35209)

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Provider's Procedures

KELLYN V MCMAHON (CRNP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERAL90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older2518

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: 1557330859View full group profile
NameSpecialtyState
Nurse PractitionerAL
N E P H R O L O G YAL
Nurse PractitionerAL
Nurse PractitionerAL
N E P H R O L O G YAL
-AL
N E P H R O L O G YAL
-AL
N E P H R O L O G YAL
Internal MedicineAL

Reviews

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Frequently asked questions

What NPI should I save for KELLYN V MCMAHON (CRNP)?
Save NPI 1629376611 if you need a stable reference for KELLYN V MCMAHON (CRNP).
Is KELLYN V MCMAHON (CRNP)'s NPI currently valid?
The extract we use shows KELLYN V MCMAHON (CRNP) as active.
What kind of provider is KELLYN V MCMAHON (CRNP)?
The page reflects Family Nurse Practitioner for KELLYN V MCMAHON (CRNP). Clinical services aligned with this taxonomy classification.
Where does public data place KELLYN V MCMAHON (CRNP)?
The snapshot lists Homewood, Alabama for KELLYN V MCMAHON (CRNP); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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