MRS. KETTELENE PHILOGENE MCMORRIS (APRN) – Nurse Practitioner, NPI 1194342048
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MRS. KETTELENE PHILOGENE MCMORRIS (APRN)
1860 SW Fountainview Blvd Ste 100
Port Saint Lucie, FL 349864528
Phone: (772) 207-4900
Type: Location
200 SE HOSPITAL AVE
STUART, FL 349942346
Phone: (772) 287-5200
Type: Location
11462 SW HALTON ST
PORT SAINT LUCIE, FL 349872807
Phone: (754) 366-1406
Type: Mailing
PO BOX 415348
BOSTON, MA 022415348
Phone: (800) 225-8885
Fax: (508) 334-1977
Type: Mailing
200 SE Hospital Ave
Stuart, FL 349942346
Phone: (772) 287-5200
Type: Location
5850 SE Community Dr
Stuart, FL 349976420
Phone: (772) 324-2421
Fax: (772) 324-3897
Type: Location
1350 Hickory St
Melbourne, FL 329013224
Phone: (321) 433-4225
Type: Location
119 Belmont St
Worcester, MA 016052903
Phone: (508) 334-8515
Fax: (508) 334-6490
Type: Location
55 Lake Ave N
Worcester, MA 016550002
Phone: (508) 334-8515
Fax: (508) 334-6490
Type: Location
1860 SW FOUNTAINVIEW BLVD STE 100
PORT SAINT LUCIE, FL 349864528
Phone: (754) 366-1406
Type: Mailing
1000 36TH ST
VERO BEACH, FL 329604862
Phone: (772) 567-4311
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $187.
Total Amount is formed as General ($187) + Research ($0) + Ownership ($0) = $187.
Last reported payment date: 2024-06-05 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($164).
Total Amount
$187
General + Research + Ownership
Payments
4
Total payment records
General Amount
$187
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $164 |
| ITI, Inc. | $23 |
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: 2024-05-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20210218000110 | I | Nurse Practitioner | FL | TBD |
| I20230921003789 | I | Nurse Practitioner | MA | TBD |
| I20240502001654 | I | Nurse Practitioner | NY | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 41 | 41 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 34986)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Gastroenterology, Internal Medicine | MA | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | MA | |
| Hospitalist, Cardiovascular Disease (Cardiology), Hospitalist, Internal Medicine | NY | |
| Diagnostic Radiology | NH | |
| - | NH | |
| Diagnostic Radiology | OK | |
| Physician Assistant | MA | |
| Internal Medicine | MA | |
| Radiation Oncology, Hematology/Oncology | OH | |
| Nephrology, Internal Medicine | MA |
Reviews
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