KELLY VIAL (FNP) – Nurse Practitioner, NPI 1447486295
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,353 NURSE PRACTITIONER in CA
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Provider Addresses for KELLY VIAL (FNP)
1111, Emerald Bay Road, Tahoe Valley, South Lake Tahoe, El Dorado County, California, 96150, United States
SOUTH LAKE TAHOE, CA 961506207
Phone: (530) 543-5659
Fax: (530) 541-8723
Type: Mailing
1090, 3rd Street, Tamarack Subdivision, Tahoe Valley, South Lake Tahoe, El Dorado County, California, 96150, United States
SOUTH LAKE TAHOE, CA 961503485
Phone: (530) 543-5660
Fax: (530) 542-1619
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $510.
Total Amount is formed as General ($510) + Research ($0) + Ownership ($0) = $510.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Lilly USA, LLC ($71).
Total Amount
$510
General + Research + Ownership
Payments
22
Total payment records
General Amount
$510
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $71 |
| Abbott Laboratories | $68 |
| GlaxoSmithKline, LLC. | $53 |
| Novo Nordisk Inc | $46 |
| Exact Sciences Corporation | $45 |
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: 2009-09-10
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 |
|---|---|---|---|---|
| I20090910000161 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 238 | 143 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 208 | 116 | $0 |
| 83036 | Hemoglobin a1c level | 43 | 35 | $0 |
| G0008 | Administration of influenza virus vaccine | 42 | 41 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 42 | 36 | $0 |
Insurance plans in this area (ZIP 96150)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | CA | |
| Family Practice | OR | |
| Emergency Medicine | CA | |
| Internal Medicine, Pediatric Medicine | CA | |
| Family Practice | CA | |
| Internal Medicine | CA | |
| Family Practice | CA | |
| Emergency Medicine | TN | |
| Emergency Medicine | CA | |
| Pulmonary Disease, Internal Medicine | CA |
Reviews
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