MADELEINE RAE KELLEY (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1568190221

MADELEINE RAE KELLEY (APRN) is a healthcare provider. based in Lake city, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11021350 (FL). The NPI Number for MADELEINE RAE KELLEY (APRN) is 1568190221

Main info

Female
4 Years Of Experience
Name
MADELEINE RAE KELLEY (APRN)
NPI
1568190221
Phone
(352) 356-3037
Address
459 SE Hernando Ave
Enumeration Date
10 August 2022
Last Update Date
21 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3867549005
Graduation Year
2022 (4 years ago)
PAC ID
5799158671
Professional Enrollment ID
I20230223000513
Address ID
FL320553899LA512XXSTXX400
Telehealth
Yes

Contacts

Other Endpoint
mkelleyaprn@gmail.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Other namesUpdated within 12 months

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MADELEINE RAE KELLEY (APRN)

  • 459 SE Hernando Ave

    Lake City, FL 320255977

    Phone: (352) 356-3037

    Type: Location

  • 512 W DuVal St

    Lake City, FL 320553899

    Phone: (396) 754-9005

    Type: Location

  • 459 SE HERNANDO AVE

    LAKE CITY, FL 320255977

    Phone: (352) 356-3037

    Type: Location

  • 103 SE 3RD ST

    TRENTON, FL 326933247

    Phone: (352) 577-5252

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $592.

Total Amount is formed as General ($592) + Research ($0) + Ownership ($0) = $592.

Last reported payment date: 2024-12-07 • Largest payer in this snapshot: ABBVIE INC. ($352).

Total Amount

$592

General + Research + Ownership

Payments

6

Total payment records

General Amount

$592

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$352
ConvaTec Inc.$148
Corium, LLC$93
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: 2023-02-23

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
I20230223000513INurse PractitionerFLTBD

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
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes19050$0
90833Psychotherapy with evaluation and management visit, 30 minutes14043$0
90792Psychiatric diagnostic evaluation with medical services8281$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes6933$0
90836Psychotherapy with evaluation and management visit, 45 minutes4528$0
View full utilization report →

Insurance plans in this area (ZIP 32025)

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Reviews

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Frequently asked questions

How is MADELEINE RAE KELLEY (APRN) identified in CMS data?
CMS-hosted NPPES data lists MADELEINE RAE KELLEY (APRN) with NPI 1568190221.
Does CMS list MADELEINE RAE KELLEY (APRN) as active?
Yes — MADELEINE RAE KELLEY (APRN) is active in the NPI listing used on this page.
What taxonomy line describes MADELEINE RAE KELLEY (APRN)?
For research purposes, treat MADELEINE RAE KELLEY (APRN) as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MADELEINE RAE KELLEY (APRN)?
MADELEINE RAE KELLEY (APRN)'s geographic hint is Lake City, Florida in our summary view.
Why does MADELEINE RAE KELLEY (APRN) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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