JULIE L KELLEY (MD) – Family Medicine Physician, NPI 1306980552

JULIE L KELLEY (MD) is a healthcare provider. based in Red bud, Illinois. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 36100230 (IL). The NPI Number for JULIE L KELLEY (MD) is 1306980552

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
JULIE L KELLEY (MD)
NPI
1306980552
Phone
(618) 282-3831
Address
325 SPRING ST
Enumeration Date
19 February 2007
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
6189392273
Graduation Year
1996 (30 years ago)
PAC ID
0345273579
Group Practice PAC ID
9830562016
Professional Enrollment ID
I20050916000808
Address ID
IL622781105RE325XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,845 EMERGENCY MEDICINE in IL

Provider Addresses for JULIE L KELLEY (MD)

  • 325 SPRING ST

    RED BUD, IL 622781105

    Phone: (618) 282-3831

    Fax: (618) 282-1919

    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)

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: 2005-09-16

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
I20050916000808IEmergency 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
99284Emergency department visit with moderate level of medical decision making8273$0
99283Emergency department visit with low level of medical decision making7672$0
99282Emergency department visit with straightforward medical decision making6864$0
99285Emergency department visit with high level of medical decision making4140$0
99291Critical care, first 30-74 minutes1412$0
View full utilization report →

Insurance plans in this area (ZIP 62278)

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Provider's Procedures

JULIE L KELLEY (MD) performs procedures in EMERGENCY MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEIL93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report6053

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: 9830562016View full group profile
NameSpecialtyState
Hospitalist, Family PracticeIL
Hospitalist, Internal MedicineIL
Pulmonary DiseaseNM
Internal Medicine, Family PracticeIL
Nurse PractitionerIL
Nurse PractitionerIL
H E M A T O L O G Y/ O N C O L O G YIL
H O S P I T A L I S TMO
Neurology, Critical Care (Intensivists)IN
Physician AssistantIL

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Frequently asked questions

How do I look up JULIE L KELLEY (MD) by NPI?
Use NPI 1306980552 when you need to reference JULIE L KELLEY (MD) in forms, claims, or directories.
Does this profile mean JULIE L KELLEY (MD) is currently active?
Yes — JULIE L KELLEY (MD) appears active in the national provider directory.
What kind of provider is JULIE L KELLEY (MD)?
The page reflects Family Medicine Physician for JULIE L KELLEY (MD). Clinical services aligned with this taxonomy classification.
Does JULIE L KELLEY (MD) practice in Illinois?
You will see Red Bud, Illinois on file for JULIE L KELLEY (MD) alongside any extra practice locations.
What if Red Bud, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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