Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keley Brennan

Individual provider Nurse Practitioner · NPI 1386480192

Keley Brennan is a Nurse Practitioner in Mooresville, North Carolina. Qualified in 2021, 5 years ago. Practices with Pacs, PC, a 10-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2024
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Practice location Address checks out

417 E Statesville Ave
Mooresville, NC 28115-2590
Phone: (704) 663-3063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5020475 (NC)

Record details

NPI number1386480192
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 2, 2024
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Pacs, Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Mooresville