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

Kelly Footen, FNP-C

Individual provider Pediatric Nurse Practitioner · NPI 1194580233

Kelly Footen, FNP-C is a Nurse Practitioner in Hagerstown, Maryland. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Maryland.

Years since qualifying
3
Licensed in
MD
In the registry since
2024
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1141 Opal Ct
Hagerstown, MD 21740-5976
Phone: (301) 791-6666
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence R169068 (MD)

Record details

NPI number1194580233
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedFebruary 19, 2024
Last updated in NPPESMarch 17, 2024
Certification dateMarch 17, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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