JENNIFER LYNNE KELLY (AGNP) – Gerontology Nurse Practitioner, NPI 1356959944

JENNIFER LYNNE KELLY (AGNP) is a healthcare provider. based in Saint louis, Missouri. specializing in Gerontology Nurse Practitioner. They hold the professional credentials AGNP. They hold a License No. 2009019364 (MO). The NPI Number for JENNIFER LYNNE KELLY (AGNP) is 1356959944

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER LYNNE KELLY (AGNP)
NPI
1356959944
Phone
(636) 288-0807
Address
5401 LINDENWOOD AVE
Enumeration Date
20 July 2020
Last Update Date
25 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5732341800
Graduation Year
2019 (7 years ago)
PAC ID
8921424516
Group Practice PAC ID
1759441447
Professional Enrollment ID
I20200813000662

Contacts

Secure Messaging
Jennifer.Kelly@BHM.gehrimeddirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:5State licenses:2Other namesUpdated within 12 months

Provider Addresses for JENNIFER LYNNE KELLY (AGNP)

  • 5401 LINDENWOOD AVE

    SAINT LOUIS, MO 631091602

    Phone: (636) 288-0807

    Type: Mailing

  • 2101 CORONA RD STE 102

    COLUMBIA, MO 652032582

    Phone: (573) 234-1800

    Fax: (573) 234-1799

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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 63109)

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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: 1759441447View full group profile
NameSpecialtyState
DR. AMY O PUDERBAUGH (DO)
-MO
SHANNON PHILLIPS (APRN)
-MO
MRS. MICHELLE ROSE KELLY (NP-C)
-MO
MELISSA R. FREESE (FNP-C)
-MO
MR. JOSEPH CARAWAY (APRN)
-MO
DR. KATHLEEN QUYEN TANG-BELTRAN (D.O)
Geriatric Medicine, Family PracticeMO
CAROLYN LOZETTA WHITE (ARNP)
-MO
WHITNEY JOHNSON (AGNP-BC)
-MO
MARY VIRGINIA CREGER (CNS)
-MO

Reviews

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Frequently asked questions

What is the standard ID for JENNIFER LYNNE KELLY (AGNP) in the U.S.?
In the U.S., JENNIFER LYNNE KELLY (AGNP) is identified by NPI 1356959944.
Is JENNIFER LYNNE KELLY (AGNP) currently accepting referrals based on NPI status?
Registry metadata lists JENNIFER LYNNE KELLY (AGNP) as active.
Which specialty label fits JENNIFER LYNNE KELLY (AGNP)?
NPPES ties JENNIFER LYNNE KELLY (AGNP) to Gerontology Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit JENNIFER LYNNE KELLY (AGNP) in Saint Louis, Missouri?
For routing, start with Saint Louis, Missouri for JENNIFER LYNNE KELLY (AGNP), then verify phone and hours locally.
Can I export JENNIFER LYNNE KELLY (AGNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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