JEREMY ANDERSON KELLEY (CRNP) – Family Nurse Practitioner, NPI 1952557498

JEREMY ANDERSON KELLEY (CRNP) is a healthcare provider. based in Demopolis, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-102441 (AL). The NPI Number for JEREMY ANDERSON KELLEY (CRNP) is 1952557498

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
JEREMY ANDERSON KELLEY (CRNP)
NPI
1952557498
Phone
(334) 287-2846
Address
105 US HIGHWAY 80 E
Enumeration Date
15 August 2008
Last Update Date
3 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3342872840
Graduation Year
2008 (18 years ago)
PAC ID
5395806970
Group Practice PAC ID
6709873235
Professional Enrollment ID
I20081202000474
Address ID
AL367323605DE105XXEXXX503
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for JEREMY ANDERSON KELLEY (CRNP)

  • 105 US HIGHWAY 80 E

    DEMOPOLIS, AL 367323605

    Phone: (334) 287-2846

    Fax: (334) 287-2846

    Type: Mailing

  • University Boulevard East, Tuscaloosa, Tuscaloosa County, Alabama, 35453, United States

    SUITE 400

    TUSCALOOSA, AL 354012086

    Phone: (205) 752-0694

    Fax: (205) 752-6244

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 247 Open Payments records for all available years, with a total value of $5,605.

Total Amount is formed as General ($5,605) + Research ($0) + Ownership ($0) = $5,605.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: AngioDynamics, Inc. ($2,178).

Total Amount

$5,605

General + Research + Ownership

Payments

247

Total payment records

General Amount

$5,605

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2008-12-02

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
I20081202000474INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes666539$0
99213Established patient office or other outpatient visit, 20-29 minutes123121$0
99215Established patient office or other outpatient visit, 40-54 minutes4138$0
View full utilization report →

Insurance plans in this area (ZIP 36732)

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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: 6709873235View full group profile
NameSpecialtyState
Nurse PractitionerAL
-AL
-AL
-AL
Certified Registered Nurse Anesthetist (Crna)MS
Obstetrics/Gynecology, Family PracticeAL
General Practice, Emergency MedicineAL
Nurse PractitionerAL
Interventional Cardiology, Cardiovascular Disease (Cardiology)AL
Nurse PractitionerAL

Reviews

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Frequently asked questions

Is there an official ID for JEREMY ANDERSON KELLEY (CRNP) in U.S. healthcare records?
The official identifier for JEREMY ANDERSON KELLEY (CRNP) is NPI 1952557498.
Active or inactive — what applies to JEREMY ANDERSON KELLEY (CRNP)?
You should see JEREMY ANDERSON KELLEY (CRNP) as active in CMS-hosted NPPES data.
How would a patient describe JEREMY ANDERSON KELLEY (CRNP)'s focus?
For JEREMY ANDERSON KELLEY (CRNP), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JEREMY ANDERSON KELLEY (CRNP) associated with Demopolis?
Public fields place JEREMY ANDERSON KELLEY (CRNP) around Demopolis, Alabama. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for JEREMY ANDERSON KELLEY (CRNP) is noted as August 15, 2008 where the registry provides it.

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