KAREN MCNEELY (BSN NP) – Nurse Practitioner, NPI 1104228402

KAREN MCNEELY (BSN NP) is a healthcare provider. based in Statesboro, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials BSN NP. They hold a License No. RN089620 (GA). The NPI Number for KAREN MCNEELY (BSN NP) is 1104228402

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
KAREN MCNEELY (BSN NP)
NPI
1104228402
Phone
(912) 681-6944
Address
114 HILL POND LN
Enumeration Date
18 September 2014
Last Update Date
18 September 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9125389080
Graduation Year
2014 (12 years ago)
PAC ID
3274854351
Group Practice PAC ID
7113018334
Professional Enrollment ID
I20150601002076
Address ID
GA304743302VI305XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for KAREN MCNEELY (BSN NP)

  • 114 HILL POND LN

    STATESBORO, GA 304580872

    Phone: (912) 681-6944

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $331.

Total Amount is formed as General ($331) + Research ($0) + Ownership ($0) = $331.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($196).

Total Amount

$331

General + Research + Ownership

Payments

15

Total payment records

General Amount

$331

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

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: 2015-06-01

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
I20150601002076INurse PractitionerGATBD

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
17003Destruction of precancer skin growth, 2-14 growths37276$0
99213Established patient office or other outpatient visit, 20-29 minutes296217$0
11102Biopsy of related skin growth, first growth167142$0
17000Destruction of precancer skin growth, 1 growth153121$0
11103Biopsy of related skin growth, each additional growth9254$0
View full utilization report →

Insurance plans in this area (ZIP 30458)

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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: 7113018334View full group profile
NameSpecialtyState
General SurgeryGA
Physician AssistantGA
D E R M A T O L O G YGA

Reviews

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Frequently asked questions

What NPI should I save for KAREN MCNEELY (BSN NP)?
Save NPI 1104228402 if you need a stable reference for KAREN MCNEELY (BSN NP).
Does this profile mean KAREN MCNEELY (BSN NP) is currently active?
Yes — KAREN MCNEELY (BSN NP) appears active in the national provider directory.
Does KAREN MCNEELY (BSN NP) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for KAREN MCNEELY (BSN NP). Clinical services aligned with this taxonomy classification.
Where is KAREN MCNEELY (BSN NP)'s primary listing?
We display Statesboro, Georgia because that is what the record indicates for KAREN MCNEELY (BSN NP).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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