WESLEY KYLE KELLEY (NP) – Family Nurse Practitioner, NPI 1144742735
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for WESLEY KYLE KELLEY (NP)
505 AMELIA AVE
BAINBRIDGE, GA 398194355
Phone: (229) 243-6900
Fax: (229) 243-6919
Type: Location
1500, East Shotwell Street, Shotwell Street Retail2, Bainbridge, Decatur County, Georgia, 39819, United States
BAINBRIDGE, GA 398194256
Phone: (229) 246-3500
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 $868.
Total Amount is formed as General ($868) + Research ($0) + Ownership ($0) = $868.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Novo Nordisk Inc ($174).
Total Amount
$868
General + Research + Ownership
Payments
50
Total payment records
General Amount
$868
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $174 |
| Lilly USA, LLC | $87 |
| GlaxoSmithKline, LLC. | $84 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $65 |
| ABBVIE INC. | $64 |
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: 2017-09-12
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 |
|---|---|---|---|---|
| I20170912001811 | I | Nurse Practitioner | GA | 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 | 69 | 45 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 67 | 43 | $0 |
Insurance plans in this area (ZIP 39819)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| Emergency Medicine | CA | |
| Family Practice | MD | |
| Internal Medicine | NY | |
| Nurse Practitioner | NY | |
| Internal Medicine | GA | |
| Internal Medicine | TX | |
| Physical Medicine And Rehabilitation, Pain Management | FL | |
| Family Practice | NY | |
| Family Practice | NY |
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