MRS. KAY LYNN SOUTHWELL (PMHNP-BC,NPC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1730320623
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,509 NURSE PRACTITIONER in AZ
Provider Addresses for MRS. KAY LYNN SOUTHWELL (PMHNP-BC,NPC)
6242 E ARBOR AVE SUITE 111
MESA, AZ 852062809
Phone: (480) 610-8183
Fax: (480) 610-8566
Type: Location
6242, East Arbor Avenue, New Hope Trailer Park, Mesa, Maricopa County, Arizona, 85206, United States
SUITE 111
MESA, AZ 852061309
Phone: (480) 610-8183
Fax: (480) 610-8566
Type: Mailing
7156 E OLLA AVE
MESA, AZ 852129802
Phone: (810) 919-6247
Type: Mailing
1910 S STAPLEY DR STE 217
MESA, AZ 852046679
Phone: (602) 888-0370
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 116 Open Payments records for all available years, with a total value of $1,861.
Total Amount is formed as General ($1,861) + Research ($0) + Ownership ($0) = $1,861.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($490).
Total Amount
$1,861
General + Research + Ownership
Payments
116
Total payment records
General Amount
$1,861
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $490 |
| AstraZeneca Pharmaceuticals LP | $294 |
| Novo Nordisk Inc | $174 |
| Amgen Inc. | $115 |
| AIMMUNE THERAPEUTICS, INC. | $78 |
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: 2016-09-14
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 |
|---|---|---|---|---|
| I20160914002452 | I | Nurse Practitioner | AZ | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 85206)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | AZ | 81002 | Urinalysis, manual test | 40 | 36 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| - | AZ | |
| - | AZ | |
| - | AZ | |
| Nurse Practitioner | OR | |
| - | AZ | |
| Occupational Therapist In Private Practice | NY | |
| - | AZ | |
| Physician Assistant | AZ |
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