AMY SUE KELLEY (MD) – Emergency Medicine Physician, NPI 1033153069

AMY SUE KELLEY (MD) is a healthcare provider. based in Murphysboro, Illinois. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. ME92613 (FL). The NPI Number for AMY SUE KELLEY (MD) is 1033153069

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
AMY SUE KELLEY (MD)
NPI
1033153069
Phone
(618) 684-3156
Address
2 S Hospital Dr
Enumeration Date
16 June 2006
Last Update Date
6 March 2026

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
6185490721
Graduation Year
2001 (25 years ago)
PAC ID
8921083189
Group Practice PAC ID
3678677390
Professional Enrollment ID
I20260129002056
Address ID
IL629011462CA405XXSTXX400

Contacts

Secure Messaging
akelley86899@sih.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness95
Years active:19State licenses:2Other names

2,845 EMERGENCY MEDICINE in IL

Provider Addresses for AMY SUE KELLEY (MD)

  • 2 S Hospital Dr

    Murphysboro, IL 629663333

    Phone: (618) 684-3156

    Fax: (618) 529-0524

    Type: Location

  • 201 S 14th St

    Herrin, IL 629483631

    Phone: (618) 942-2171

    Fax: (618) 351-4917

    Type: Location

  • 100 Dr Warren Tuttle Dr

    Harrisburg, IL 629462718

    Phone: (618) 253-0350

    Fax: (618) 252-2425

    Type: Location

  • 405 W Jackson St

    Carbondale, IL 629011462

    Phone: (618) 549-0721

    Fax: (618) 457-0469

    Type: Location

  • Daytona Beach Post Office, North Atlantic Avenue, Daytona Beach, Volusia County, Florida, 32118, United States

    DAYTONA BEACH, FL 321209430

    Phone:

    Type: Mailing

  • Florida Hospital Fish Memorial, 1055, Saxon Boulevard, Orange City, Volusia County, Florida, 32763, United States

    ORANGE CITY, FL 327638468

    Phone: (386) 943-4522

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $39.

Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.

Last reported payment date: 2023-08-03 • Largest payer in this snapshot: PFIZER INC. ($39).

Total Amount

$39

General + Research + Ownership

Payments

2

Total payment records

General Amount

$39

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$39
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: 2026-01-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070621000007IEmergency MedicineFLTBD
I20260129002056IEmergency MedicineILTBD

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
99285Emergency department visit with high level of medical decision making319297$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only304283$0
99284Emergency department visit with moderate level of medical decision making145139$0
99291Critical care, first 30-74 minutes4949$0
View full utilization report →

Insurance plans in this area (ZIP 62966)

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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: 3678677390View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YIL
Cardiovascular Disease (Cardiology)IL
-IL
Emergency MedicineIL
Nurse PractitionerMO
Nurse PractitionerIL
Emergency MedicineIL
-IL
N E U R O L O G YIL
U R O L O G YIL

Reviews

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Frequently asked questions

What is AMY SUE KELLEY (MD)'s NPI number?
AMY SUE KELLEY (MD)'s NPI is 1033153069 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to AMY SUE KELLEY (MD)?
You should see AMY SUE KELLEY (MD) as active in CMS-hosted NPPES data.
What expertise is attributed to AMY SUE KELLEY (MD)?
AMY SUE KELLEY (MD)'s specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is AMY SUE KELLEY (MD) located near Murphysboro?
AMY SUE KELLEY (MD) currently maps to Murphysboro, Illinois in this extract.
Does AMY SUE KELLEY (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.