NIKKI SUE KELLEY (NP-C) – Gerontology Nurse Practitioner, NPI 1013308097
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for NIKKI SUE KELLEY (NP-C)
PO BOX 102222
ATLANTA, GA 303682222
Phone: (239) 274-8200
Type: Mailing
4724 N DAVIS HWY # 100
PENSACOLA, FL 325032339
Phone: (850) 201-2421
Fax: (850) 886-2235
Type: Location
4724 N DAVIS HWY
PENSACOLA, FL 325032339
Phone: (850) 696-4000
Fax: (850) 434-2647
Type: Location
24 N TARRAGONA ST STE 5
PENSACOLA, FL 325026063
Phone: (850) 324-4792
Type: Mailing
4724 N Davis Hwy # 100
Pensacola, FL 325032339
Phone: (850) 201-2421
Fax: (850) 886-2235
Type: Location
161 E NINE MILE RD
PENSACOLA, FL 325343140
Phone: (850) 696-4000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 50 Open Payments records for all available years, with a total value of $1,331.
Total Amount is formed as General ($1,331) + Research ($0) + Ownership ($0) = $1,331.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Janssen Biotech, Inc. ($221).
Total Amount
$1,331
General + Research + Ownership
Payments
50
Total payment records
General Amount
$1,331
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $221 |
| Astellas Pharma US Inc | $188 |
| Amgen Inc. | $125 |
| BeiGene USA, Inc. | $118 |
| Merck Sharp & Dohme LLC | $111 |
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: 2015-05-20
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 |
|---|---|---|---|---|
| I20150520001172 | I | Nurse Practitioner | FL | 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 | 90 | 49 | $0 |
Insurance plans in this area (ZIP 30368)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | FL | |
| Physician Assistant | GA | |
| Hematology, Medical Oncology, Hematology/Oncology | FL | |
| Internal Medicine | FL | |
| U R O L O G Y | FL | |
| Diagnostic Radiology | FL | |
| Family Practice | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | GA | |
| Family Practice | FL |
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