KELLEY J. STANLEY (MD) – Family Medicine Physician, NPI 1013005313

KELLEY J. STANLEY (MD) is a healthcare provider. based in Rock falls, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD22289 (ME). The NPI Number for KELLEY J. STANLEY (MD) is 1013005313

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
KELLEY J. STANLEY (MD)
NPI
1013005313
Phone
(815) 626-2230
Address
1300 W 2ND ST
Enumeration Date
11 October 2006
Last Update Date
25 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2073303950
Graduation Year
2002 (24 years ago)
PAC ID
5597790139
Group Practice PAC ID
0042107120
Professional Enrollment ID
I20201224000456
Address ID
ME042105966AU2XXXXPLZX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

886 FAMILY PRACTICE in ME

Provider Addresses for KELLEY J. STANLEY (MD)

  • West 2nd Street, Rock Falls, Whiteside County, Illinois, 61071, United States

    ROCK FALLS, IL 610711005

    Phone: (815) 626-2230

    Type: Mailing

  • 180 CHURCH HILL RD

    LEEDS, ME 042633418

    Phone: (207) 524-3501

    Fax: (207) 524-2093

    Type: Mailing

  • 11 ACADEMY RD

    MONMOUTH, ME 042597035

    Phone: (207) 524-3501

    Fax: (207) 933-9645

    Type: Location

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: 2020-12-24

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
I20201224000456IFamily PracticeMETBD

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
83036Hemoglobin a1c level4016$0
View full utilization report →

Insurance plans in this area (ZIP 61071)

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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: 0042107120View full group profile

Reviews

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Frequently asked questions

How is KELLEY J. STANLEY (MD) identified in CMS data?
CMS-hosted NPPES data lists KELLEY J. STANLEY (MD) with NPI 1013005313.
Is KELLEY J. STANLEY (MD) listed as active for patients and plans?
The listing shows KELLEY J. STANLEY (MD) as active in the NPI system.
What is KELLEY J. STANLEY (MD) best known for clinically?
Directory data describes KELLEY J. STANLEY (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does KELLEY J. STANLEY (MD) serve?
KELLEY J. STANLEY (MD)'s listing highlights Rock Falls, Illinois; more addresses can appear in NPPES.
Why does KELLEY J. STANLEY (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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