KELLIE VAUGHN (CRNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1245705698
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
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Provider Addresses for KELLIE VAUGHN (CRNP)
Meadow View, Pelham, Hillsborough County, New Hampshire, United States
PELHAM, AL 351241984
Phone: (205) 657-1630
Type: Mailing
1109, Townhouse Road, Helena, Shelby County, Alabama, 35080, United States
HELENA, AL 350804012
Phone: (205) 621-8677
Type: Location
198 NARROWS DR STE 105
BIRMINGHAM, AL 352428663
Phone: (205) 407-4150
Fax: (833) 517-1881
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 140 Open Payments records for all available years, with a total value of $2,761.
Total Amount is formed as General ($2,761) + Research ($0) + Ownership ($0) = $2,761.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ITI, Inc. ($675).
Total Amount
$2,761
General + Research + Ownership
Payments
140
Total payment records
General Amount
$2,761
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-01-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190124000049 | I | Nurse Practitioner | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 50 | 13 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 38 | 13 | $0 |
Insurance plans in this area (ZIP 35124)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | TN | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Psychiatry, Addiction Medicine | AL | |
| Certified Clinical Nurse Specialist (Cns) | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| P S Y C H I A T R Y | AL | |
| P S Y C H I A T R Y | AL |
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