KELLY BROOKE ENGELMANN CFNP
NPI 1710096656
Nurse Practitioner - Family in Jackson, MS
NPI Status: Active since August 30, 2006
Contact Information
1855 LAKELAND DR
STE. M20
JACKSON, MS
ZIP 39216
Phone: (601) 364-1132
Fax: (601) 364-1134
- Individual
- Female
- Nurse Practitioner
- Family
- PECOS Enrolled
- Opted-Out Medicare
About KELLY ENGELMANN
This page provides the complete NPI Profile along with additional information for Kelly Engelmann, a provider established in Jackson, Mississippi with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1710096656 assigned on August 2006. The practitioner's primary taxonomy code is 363LF0000X with license number R805546 (MS). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1710096656
- Provider Name
- KELLY BROOKE ENGELMANN CFNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1855 LAKELAND DR STE. M20 JACKSON, MS 39216
- Location Phone
- (601) 364-1132
- Location Fax
- (601) 364-1134
- Mailing Address
- 105 HONEYBEE CV BRANDON, MS 39047
- Mailing Phone
- (601) 862-1404
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-30-2006
- Last Update Date
- 03-07-2023
- Code Navigator
A nurse practitioner (NP) like Kelly Engelmann is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Kelly Engelmann opted out of Medicare effective on 10-01-2016 until 10-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- R805546
- License State
- MS
Medicare Participation & PECOS Enrollment Status
Kelly Engelmann is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 10-01-2016
Opt-Out End Date: 10-01-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 39216 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $80.5
- Minimum New Patient Price $51.65
- Maximum New Patient Price $159.18
- Average New Patient Copayment $20.12
- Minimum New Patient Copayment $12.91
- Maximum New Patient Copayment $39.79
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $92.2
- Minimum Established Patient Price $16.15
- Maximum Established Patient Price $129.61
- Average Established Patient Copayment $23.05
- Minimum Established Patient Copayment $4.03
- Maximum Established Patient Copayment $32.4
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 1 | 0 | 0 | 9 | 6 | 6 | 5 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 0 | 9 | 12 | 6 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 0 + 9 + 1 + 2 + 6 + 1 + 0 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1710096656 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1558318618 | SLEEP SOLUTIONS, LLC Organization | Clinic/Center (Sleep Disorder Diagnostic) | 1855 LAKELAND DR SUITE R306A JACKSON, MS 39216 (601) 981-4274 |
| 1477679736 | DR. DOUGLAS WILLIAM BYRD M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1855 LAKELAND DR SUITE P-231 JACKSON, MS 39216 (601) 366-4696 |
| 1518284181 | PORTABLE MEDICAL DIAGNOSTICS INC Organization | Clinic/Center (Radiology, Mobile) | 1855 LAKELAND DR SUITE G10 JACKSON, MS 39216 (601) 987-9425 |
| 1417275173 | MR. LARRY FRANCIS BUTTS Individual | Counselor (Professional) | 1855 LAKELAND DR STE R-204 JACKSON, MS 39216 (601) 982-5376 |
| 1316255367 | BYRON GALLOWAY LMFT Individual | Marriage & Family Therapist | 1855 LAKELAND DR SUITE R-204 JACKSON, MS 39216 (601) 982-5376 |
| 1649589565 | MRS. ELIZABETH YOUNG LPC Individual | Counselor (Mental Health) | 1855 LAKELAND DR SUITE R 204 JACKSON, MS 39216 (601) 982-5376 |
| 1629378971 | PMT CLINIC Organization | Psychologist (Prescribing (Medical)) | 1855 LAKELAND DR SUITE P101 JACKSON, MS 39216 (601) 366-4696 |
| 1790087393 | JACKSON PSYCHIATRY GROUP Organization | Psychologist (Prescribing (Medical)) | 1855 LAKELAND DR SUITE P121 JACKSON, MS 39216 (601) 366-4696 |
| 1003119041 | MRS. DENEASE INEZ BISHOP LPC, LMFT Individual | Counselor (Professional) | 1855 LAKELAND DR SUITE P101 JACKSON, MS 39216 (601) 278-6790 |
| 1053639088 | HART KATHERINE WYLIE PMHNP, LPC Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1855 LAKELAND DR SUITE P-121 JACKSON, MS 39216 (601) 366-4696 |
| 1528254554 | DOUGLAS E BROWN RT Individual | Radiologic Technologist | 1855 LAKELAND DR SUITE J10 JACKSON, MS 39216 (601) 987-9425 |
| 1932489812 | PORTABLE MEDICAL DIAGNOSTICS LLC Organization | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1855 LAKELAND DR STE G10 JACKSON, MS 39216 (601) 987-9729 |
| 1104166891 | LISA L DALTON NP Individual | Nurse Practitioner (Family) | 1855 LAKELAND DR STE M20 JACKSON, MS 39216 (601) 364-1132 |
| 1174804355 | PORTABLE MEDICAL DIAGNOSTICS LLC Organization | Clinic/Center (Radiology, Mobile) | 1855 LAKELAND DR STE G10 JACKSON, MS 39216 (601) 987-9729 |
| 1508057860 | MRS. ELIZABETH P TAYLOR M.S., LPC Individual | Counselor | 1855 LAKELAND DR SUITE P121 JACKSON, MS 39216 (601) 209-4789 |
| 1730552977 | KALEIGH COUNTISS Individual | Counselor (Professional) | 1855 LAKELAND DR R305 JACKSON, MS 39216 (601) 982-5376 |
| 1992161954 | ENHANCED WELLNESS LIVING PLLC Organization | Nurse Practitioner | 1855 LAKELAND DR STE M20 JACKSON, MS 39216 (601) 364-1132 |
| 1508812694 | MCHANNA & ASSOCIATES, INC. Organization | Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies) | 1855 LAKELAND DR SUITE R204 JACKSON, MS 39216 (601) 981-4262 |
| 1104423268 | EMILY GOEGLEIN Individual | Counselor (Professional) | 1855 LAKELAND DR JACKSON, MS 39216 (601) 366-4696 |
| 1548474042 | MD BILLING, LLC Organization | Psychiatry & Neurology (Psychiatry) | 1855 LAKELAND DR SUITE P231 JACKSON, MS 39216 (601) 951-9863 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710096656, enumerated in the NPI registry as an "individual" on August 30, 2006
The provider is located at 1855 Lakeland Dr Ste. M20 Jackson, Ms 39216 and the phone number is (601) 364-1132
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $80.5 with an average copayment of $20.12 for new patient appointments. Established patients should expect a typical charge of $92.2 and an average copayment of 23.05. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on October 01, 2016 to opt-out of the Medicare program. The provider is excluded from the Medicare program until October 01, 2026.
This NPI record was last updated on August 30, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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