KELLY NICOLE ST. JOHN (ACNP) – Acute Care Nurse Practitioner, NPI 1780912550
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
761 NURSE PRACTITIONER in AK
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Provider Addresses for KELLY NICOLE ST. JOHN (ACNP)
Alaska Native Medical Center Hospital, 4315, Diplomacy Drive, Anchorage, Alaska, 99508, United States
ANCHORAGE, AK 995085926
Phone: (907) 729-4750
Fax: (907) 729-1831
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $102.
Total Amount is formed as General ($102) + Research ($0) + Ownership ($0) = $102.
Last reported payment date: 2023-10-24 • Largest payer in this snapshot: Gilead Sciences, Inc. ($102).
Total Amount
$102
General + Research + Ownership
Payments
1
Total payment records
General Amount
$102
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $102 |
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: 2014-05-23
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 |
|---|---|---|---|---|
| I20140523000361 | I | Nurse Practitioner | TX | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 342 | 241 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 232 | 198 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 35 | 34 | $0 |
| 93227 | Electrocardiogram (ecg) 2-day continuous with review by health care professional | 28 | 28 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 23 | 23 | $0 |
Insurance plans in this area (ZIP 99508)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | WA | |
| Family Practice | AK | |
| - | AK | |
| Internal Medicine | NY | |
| - | AK | |
| Diagnostic Radiology | NC | |
| Nurse Practitioner | AK | |
| A N E S T H E S I O L O G Y | IN | |
| A N E S T H E S I O L O G Y | WA | |
| Certified Nurse Midwife (Cnm) | AK |
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