KELLY JEAN SLATER-DEGREE (RN, MSN, FNP) – Family Nurse Practitioner, NPI 1104926724
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
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Provider Addresses for KELLY JEAN SLATER-DEGREE (RN, MSN, FNP)
16601, Edgewater Lane, Huntington Harbour, Huntington Beach, Orange County, California, 92649, United States
HUNTINGTON BEACH, CA 926493002
Phone: (714) 615-7680
Type: Mailing
300, Elm Avenue, Long Beach, Los Angeles County, California, 90802, United States
LONG BEACH, CA 908133295
Phone: (562) 624-4908
Fax: (562) 491-9128
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $656.
Total Amount is formed as General ($656) + Research ($0) + Ownership ($0) = $656.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: ABBVIE INC. ($363).
Total Amount
$656
General + Research + Ownership
Payments
25
Total payment records
General Amount
$656
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $363 |
| Amgen Inc. | $92 |
| Lilly USA, LLC | $58 |
| MERZ NORTH AMERICA, INC. | $41 |
| GENZYME CORPORATION | $34 |
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: 2015-12-17
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 |
|---|---|---|---|---|
| I20151217001189 | I | Nurse Practitioner | CA | 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 |
|---|---|---|---|---|
| 17108 | Destruction of birthmark, more than 50.0 sq cm | 112 | 42 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 106 | 52 | $0 |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 101 | 42 | $0 |
| 96574 | Application of light with debridement to destroy precancer skin growth | 80 | 42 | $0 |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 79 | 52 | $0 |
Insurance plans in this area (ZIP 92649)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA |
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