DUANE A KELLEY


Address: 525 N State St, Shelby Adolescent Health Center, Shelby, MI 49455-8201
Phone: 2319028550

DUANE A KELLEY (NPI# 1598951915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598951915
Entity Type Individual
Full Name DUANE A KELLEY
Credential NP
Practice Address 525 N State St
Shelby Adolescent Health Center
Shelby
MI 49455-8201
Mailing Address 1049 E Newell St
Po Box 850
White Cloud
MI 49349-8795
Practice Telephone 2319028550
Mailing Telephone 2313557530
Mailing Fax Number 2316897360
Enumeration Date 2007-09-19
Last Update Date 2016-08-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 4704218644 MI Physician Assistants & Advanced Practice Nursing Providers

Other Providers DUANE KELLEY

NPI Name Taxonomy Address Enumeration
1871005256 Duane Lee Kelley II Physician Assistant 1650 Cochrane Cir, Fort Carson, CO 80913-4613 2017-10-25

Office Location

Street Address 525 N STATE ST
SHELBY ADOLESCENT HEALTH CENTER
City SHELBY
State MI
Zip Code 49455-8201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790291268 Amanda Anderson Nurse Practitioner 525 N State St, Shelby, MI 49455-8201 2017-12-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013243369 Rick R. Dayton, Dds PC Dentist 218 N. State St., Shelby, MI 49455 2009-10-21
1568499721 Curtis G Glupker Specialist 71 Bevier Street, Shelby, MI 49455 2006-06-26
1780675579 Julie A Shellhouse Family Medicine 71 Bevier St, Shelby, MI 49455 2005-11-02
1407033491 Jennifer Lynn Flanery Physician Assistant 71 Bevier St, Shelby, MI 49455 2008-01-22
1053302810 Loren S Reed Surgery 71 Bevier St, Shelby, MI 49455 2005-11-02
1356367783 Oceana Home Medical Equipment Plus Durable Medical Equipment & Medical Supplies 169 N Michigan Ave, Shelby, MI 49455-1024 2006-07-15
1215014311 Hometown Pharmacy Inc Durable Medical Equipment & Medical Supplies 178 N Michigan Ave, Shelby, MI 49455-1028 2006-11-01
1912943663 Susan K Radtke Nurse Practitioner 218 N Michigan Ave, Shelby, MI 49455-1028 2006-06-21
1912221771 James W Pancy Pharmacist 178 N Michigan Ave, Shelby, MI 49455-1028 2010-03-23
1184840084 Fred F Grice Jr. Pharmacist 178 N Michigan Ave, Shelby, MI 49455-1028 2007-04-18
Find all providers in zip 49455

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518523695 Tabitha Dawn Hofer Nurse Practitioner 24 Morris Rd Ste 2, Shelby, OH 44875-1170 2019-05-14
1316416555 Chakun Tiffany Mcdaniel Nurse Practitioner 1215 Charles Rd, Shelby, NC 28152-7029 2018-11-16
1013494970 Shannon Bumgardner Standish Nurse Practitioner 1019 N Lafayette Street, Suite 1, Shelby, NC 28150 2018-07-24
1114184207 Heike Hermine Arrowood Nurse Practitioner 307 Christopher Road, Shelby, NC 28152 2008-05-18
1972717049 Cynthia H Ebert Nurse Practitioner 222 North Lafayette Street, Suite 23, Shelby, NC 28150 2007-05-09
1912943663 Susan K Radtke Nurse Practitioner 218 N Michigan Ave, Shelby, MI 49455-1028 2006-06-21
1700483013 Hayley Bowman Nurse Practitioner 200 S Post Rd, Shelby, NC 28152-6269 2020-10-08
1649898966 Kimberly Jane Sinclair Nurse Practitioner 305 W College Ave, Shelby, NC 28152-8111 2020-07-13
1699309211 Alexis C Hamilton Nurse Practitioner 808 Schenck St, Shelby, NC 28150-3934 2020-02-24
1053958918 Brittany Dick Nurse Practitioner 201 E Grover St, Shelby, NC 28150-3917 2019-12-10
Find all providers in SHELBY

Competitor

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City SHELBY
Zip Code 49455

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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