KELLEY BORELLA (CRNP) – Women's Health Nurse Practitioner, NPI 1922038751

KELLEY BORELLA (CRNP) is a healthcare provider. based in Birmingham, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-098614 (AL). The NPI Number for KELLEY BORELLA (CRNP) is 1922038751

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
KELLEY BORELLA (CRNP)
NPI
1922038751
Phone
(205) 995-1009
Address
3000 Meadow Lake Dr
Enumeration Date
4 July 2006
Last Update Date
4 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2059303200
Graduation Year
2005 (21 years ago)
PAC ID
6608876339
Group Practice PAC ID
0840629473
Professional Enrollment ID
I20070103000404
Address ID
AL352331601BI1509XSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for KELLEY BORELLA (CRNP)

  • 3000 Meadow Lake Dr

    SUITE 101

    Birmingham, AL 352420301

    Phone: (205) 995-1009

    Fax: (205) 995-1049

    Type: Location

  • Lake Drive, Birmingham, Jefferson County, Alabama, 35235, United States

    SUITE 101

    BIRMINGHAM, AL 352420301

    Phone: (205) 995-1009

    Fax: (205) 995-1049

    Type: Location

  • 1509 6TH AVE S

    BIRMINGHAM, AL 352331601

    Phone: (205) 930-3200

    Fax: (205) 521-5529

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $1,402.

Total Amount is formed as General ($1,402) + Research ($0) + Ownership ($0) = $1,402.

Last reported payment date: 2024-06-29 • Largest payer in this snapshot: CooperSurgical, Inc. ($1,100).

Total Amount

$1,402

General + Research + Ownership

Payments

6

Total payment records

General Amount

$1,402

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-29

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: 2007-01-03

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
I20070103000404INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35242)

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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: 0840629473View full group profile
NameSpecialtyState
Nurse PractitionerAL
Nurse PractitionerAL
Dermatology, Internal MedicineAL
Internal MedicineAL
Pulmonary Disease, Internal MedicineAL
Family PracticeMS
Emergency Medicine, Internal MedicineAL
R H E U M A T O L O G YMA
Nurse PractitionerAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

What federal number belongs to KELLEY BORELLA (CRNP)?
The federal identifier for KELLEY BORELLA (CRNP) is NPI 1922038751.
Is KELLEY BORELLA (CRNP)'s NPI currently valid?
The extract we use shows KELLEY BORELLA (CRNP) as active.
What field does KELLEY BORELLA (CRNP) work in?
You can think of KELLEY BORELLA (CRNP) as practicing within Women's Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does KELLEY BORELLA (CRNP) practice in Alabama?
You will see Birmingham, Alabama on file for KELLEY BORELLA (CRNP) alongside any extra practice locations.
Is KELLEY BORELLA (CRNP) a real provider?
This page reflects official NPPES data for NPI 1922038751. Always confirm identity and privileges with the practice and licensing boards.

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