KELLY JEAN MECHAM (APRN, FPN-BC, DNP) – Family Nurse Practitioner, NPI 1730449166
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KELLY JEAN MECHAM (APRN, FPN-BC, DNP)
1801 W OLYMPIC BLVD # 2265
PASADENA, CA 911990001
Phone:
Type: Mailing
874 AMERICAN PACIFIC DR
HENDERSON, NV 890148800
Phone: (702) 777-4809
Fax: (702) 777-4822
Type: Location
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 $124.
Total Amount is formed as General ($124) + Research ($0) + Ownership ($0) = $124.
Last reported payment date: 2024-04-25 • Largest payer in this snapshot: UCB, Inc. ($124).
Total Amount
$124
General + Research + Ownership
Payments
1
Total payment records
General Amount
$124
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| UCB, Inc. | $124 |
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: 2004-05-10
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 |
|---|---|---|---|---|
| I20040510001560 | I | Nurse Practitioner | NV | 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 | 32 | 11 | $0 |
Insurance plans in this area (ZIP 91199)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| Osteopathic Manipulative Medicine, Family Practice | NV | |
| Osteopathic Manipulative Medicine | OR | |
| - | FL | |
| Osteopathic Manipulative Medicine | CA | |
| Osteopathic Manipulative Medicine, General Practice | CA | |
| - | CA | |
| - | CA | |
| Osteopathic Manipulative Medicine | NV | |
| Osteopathic Manipulative Medicine | CA |
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