KELSEY BEASLEY – Family Nurse Practitioner, NPI 1003325952

KELSEY BEASLEY is a healthcare provider. based in Belleville, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209016345 (IL). The NPI Number for KELSEY BEASLEY is 1003325952

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KELSEY BEASLEY
NPI
1003325952
Phone
(618) 792-8887
Address
3060 HARVEST MEADOW DR
Enumeration Date
22 September 2017
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6184167970
Graduation Year
2017 (9 years ago)
PAC ID
3375809148
Group Practice PAC ID
5991619116
Professional Enrollment ID
I20171110000714
Address ID
IL622691887OX321XXPARK301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for KELSEY BEASLEY

  • 3060, Harvest Meadow Drive, Belleville, Saint Clair County, Illinois, 62221, United States

    BELLEVILLE, IL 622217044

    Phone: (618) 792-8887

    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 196 Open Payments records for all available years, with a total value of $4,132.

Total Amount is formed as General ($4,132) + Research ($0) + Ownership ($0) = $4,132.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($508).

Total Amount

$4,132

General + Research + Ownership

Payments

196

Total payment records

General Amount

$4,132

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2017-11-10

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
I20171110000714INurse PractitionerILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes10889$0
80053Blood test, comprehensive group of blood chemicals4231$0
85007Microscopic examination for white blood cells with manual cell count3828$0
85027Complete blood cell count (red cells, white blood cell, platelets), automated test3828$0
36415Insertion of needle into vein for collection of blood sample2119$0
View full utilization report →

Insurance plans in this area (ZIP 62221)

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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: 5991619116View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
H E M A T O L O G Y/ O N C O L O G YIL
H E M A T O L O G Y/ O N C O L O G YIL
H E M A T O L O G Y/ O N C O L O G YIL
Hematology/Oncology, Internal MedicineIL
H E M A T O L O G Y/ O N C O L O G YIL

Reviews

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Frequently asked questions

What is the standard ID for KELSEY BEASLEY in the U.S.?
In the U.S., KELSEY BEASLEY is identified by NPI 1003325952.
Is KELSEY BEASLEY currently accepting referrals based on NPI status?
Registry metadata lists KELSEY BEASLEY as active.
What services align with KELSEY BEASLEY's listing?
KELSEY BEASLEY's public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit KELSEY BEASLEY in Belleville, Illinois?
For routing, start with Belleville, Illinois for KELSEY BEASLEY, then verify phone and hours locally.
Who maintains KELSEY BEASLEY's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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