KELLY SKENDER (APN, CPNP-AC) – Critical Care Pediatric Nurse Practitioner, NPI 1265660716

KELLY SKENDER (APN, CPNP-AC) is a healthcare provider. based in Peoria, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN, CPNP-AC. They hold a License No. 209003574 (IL). The NPI Number for KELLY SKENDER (APN, CPNP-AC) is 1265660716

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
KELLY SKENDER (APN, CPNP-AC)
NPI
1265660716
Phone
(309) 655-2600
Address
530 NE GLEN OAK AVE
Enumeration Date
23 June 2009
Last Update Date
23 June 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3096829000
Graduation Year
1998 (28 years ago)
PAC ID
3072731793
Group Practice PAC ID
5890016836
Professional Enrollment ID
I20140821001559
Address ID
IL616112036EA328XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for KELLY SKENDER (APN, CPNP-AC)

  • Saint Francis Medical Center, 530, Northeast Glen Oak Avenue, Peoria, Peoria County, Illinois, 61637, United States

    PEORIA, IL 616370001

    Phone: (309) 655-2600

    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 2 Open Payments records for all available years, with a total value of $198.

Total Amount is formed as General ($198) + Research ($0) + Ownership ($0) = $198.

Last reported payment date: 2024-05-09 • Largest payer in this snapshot: Impulse Dynamics (USA) Inc. ($198).

Total Amount

$198

General + Research + Ownership

Payments

2

Total payment records

General Amount

$198

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-09

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2014-08-21

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
I20140821001559INurse 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
J1306Injection, inclisiran, 1 mg12,49624$0
J3245Injection, tildrakizumab, 1 mg3,30011$0
96372Injection of drug or substance under skin or into muscle16447$0
96365Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less7021$0
View full utilization report →

Insurance plans in this area (ZIP 61637)

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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: 5890016836View full group profile
NameSpecialtyState
Nurse PractitionerIL
C H I R O P R A C T I CIL
Internal MedicineIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

How do I look up KELLY SKENDER (APN, CPNP-AC) by NPI?
Use NPI 1265660716 when you need to reference KELLY SKENDER (APN, CPNP-AC) in forms, claims, or directories.
Does this profile mean KELLY SKENDER (APN, CPNP-AC) is currently active?
Yes — KELLY SKENDER (APN, CPNP-AC) appears active in the national provider directory.
Does KELLY SKENDER (APN, CPNP-AC) list a primary specialty?
If you are matching referrals, note Critical Care Pediatric Nurse Practitioner for KELLY SKENDER (APN, CPNP-AC). Clinical services aligned with this taxonomy classification.
Does KELLY SKENDER (APN, CPNP-AC) practice in Illinois?
You will see Peoria, Illinois on file for KELLY SKENDER (APN, CPNP-AC) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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