KERRI QUEEN (MSN, FNP-C) – Family Nurse Practitioner, NPI 1134588684
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KERRI QUEEN (MSN, FNP-C)
36 CHATEAU CT SE
ROME, GA 301617264
Phone: (706) 233-9603
Type: Location
107, John Maddox Drive, Rome, Floyd County, Georgia, 30165, United States
ROME, GA 301651419
Phone: (706) 235-0116
Fax: (706) 235-4011
Type: Mailing
25 HIGHLAND XING S
ELLIJAY, GA 305402394
Phone: (706) 273-1954
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2023-02-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20160226000838 | I | Nurse Practitioner | GA | TBD |
| I20230215002647 | I | Nurse Practitioner | NC | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 701 | 103 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 399 | 183 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 235 | 160 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 233 | 61 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 199 | 180 | $0 |
Insurance plans in this area (ZIP 30161)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA |
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