MRS. CHANA JUDITH KELLEY (APRN) – Nurse Practitioner, NPI 1144706631

MRS. CHANA JUDITH KELLEY (APRN) is a healthcare provider. based in Norwalk, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 7684 (CT). The NPI Number for MRS. CHANA JUDITH KELLEY (APRN) is 1144706631

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CHANA JUDITH KELLEY (APRN)
NPI
1144706631
Phone
(860) 716-8780
Address
761 MAIN AVE STE 201
Enumeration Date
17 July 2018
Last Update Date
8 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2038535000
Graduation Year
2018 (8 years ago)
PAC ID
7113277138
Group Practice PAC ID
4789597691
Professional Enrollment ID
I20180912000962
Address ID
CT068504000NO605XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

4,196 NURSE PRACTITIONER in CT

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Provider Addresses for MRS. CHANA JUDITH KELLEY (APRN)

  • 761 MAIN AVE STE 201

    NORWALK, CT 068511080

    Phone: (860) 716-8780

    Fax: (203) 853-5001

    Type: Mailing

  • 276, Quarry Brook Drive, South Windsor, Hartford County, Connecticut, 06074, United States

    SOUTH WINDSOR, CT 060746503

    Phone: (860) 716-8780

    Type: Mailing

  • 100 OAKVIEW DR UNIT 4-109

    TRUMBULL, CT 066114783

    Phone: (860) 716-8780

    Type: Mailing

  • 21 WATERVILLE RD

    AVON, CT 060012097

    Phone: (860) 284-0182

    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 $110.

Total Amount is formed as General ($110) + Research ($0) + Ownership ($0) = $110.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Eisai Inc. ($110).

Total Amount

$110

General + Research + Ownership

Payments

1

Total payment records

General Amount

$110

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Eisai Inc.$110
View all Open Payments →|Open Payments Risk Radar →

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: 2018-09-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180912000962INurse PractitionerCTTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,339320$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes257154$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes9696$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes3428$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes3131$0
View full utilization report →

Insurance plans in this area (ZIP 06851)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789597691View full group profile

Reviews

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Frequently asked questions

How do I look up MRS. CHANA JUDITH KELLEY (APRN) by NPI?
Use NPI 1144706631 when you need to reference MRS. CHANA JUDITH KELLEY (APRN) in forms, claims, or directories.
Is MRS. CHANA JUDITH KELLEY (APRN) currently active in the NPI registry?
CMS-published data lists MRS. CHANA JUDITH KELLEY (APRN) as an active registrant.
Can you summarize MRS. CHANA JUDITH KELLEY (APRN)'s specialty in plain language?
Clinically, the directory lists MRS. CHANA JUDITH KELLEY (APRN) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for MRS. CHANA JUDITH KELLEY (APRN)?
We surface Norwalk, Connecticut for MRS. CHANA JUDITH KELLEY (APRN) based on available NPPES addresses.
What if Norwalk, Connecticut seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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