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

Kelli Clebert Corkern, NP

Individual provider Family Nurse Practitioner · NPI 1629353990

Kelli Clebert Corkern, NP is a Nurse Practitioner in Gonzales, Louisiana. Qualified in 2011, 15 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
15
Licensed in
LA
In the registry since
2011
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1023 W Highway 30
Gonzales, LA 70737-5002
Phone: (225) 765-5500
Fax: (225) 647-5342
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 17609 Old Jefferson Hwy Ste A, Prairieville, LA 70769-3980 — (225) 765-5500

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP06551 (LA)

Record details

NPI number1629353990
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 18, 2011
Last updated in NPPESAugust 24, 2021
Certification dateAugust 24, 2021
Mailing address5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Our Lady Of The Lake Physician Group Llc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gonzales