JESSICA HEATHER KELLETT (N.P.) – Nurse Practitioner, NPI 1356770960

JESSICA HEATHER KELLETT (N.P.) is a healthcare provider. based in Kankakee, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. 209010907 (IL). The NPI Number for JESSICA HEATHER KELLETT (N.P.) is 1356770960

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA HEATHER KELLETT (N.P.)
NPI
1356770960
Phone
(815) 935-0750
Address
500 N Wall St
Enumeration Date
4 November 2013
Last Update Date
17 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7196357172
Graduation Year
2012 (14 years ago)
PAC ID
2365670239
Group Practice PAC ID
9638208549
Professional Enrollment ID
I20190618002886
Address ID
CO809095533CO1400XSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:12State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for JESSICA HEATHER KELLETT (N.P.)

  • 500 N Wall St

    Kankakee, IL 609012942

    Phone: (815) 935-0750

    Type: Location

  • 2695 ROCKY MOUNTAIN AVE STE 150

    LOVELAND, CO 805389071

    Phone: (970) 624-4034

    Fax: (970) 490-4347

    Type: Mailing

  • 1400 E BOULDER ST STE 700

    COLORADO SPRINGS, CO 80909

    Phone: (719) 365-7300

    Fax: (719) 365-7301

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $147.

Total Amount is formed as General ($147) + Research ($0) + Ownership ($0) = $147.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: ABBVIE INC. ($116).

Total Amount

$147

General + Research + Ownership

Payments

3

Total payment records

General Amount

$147

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

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: 2019-06-18

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
I20190618002886INurse PractitionerCOTBD

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 minutes12581$0
99215Established patient office or other outpatient visit, 40-54 minutes8262$0
99205New patient office or other outpatient visit, 60-74 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 60901)

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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: 9638208549View full group profile

Reviews

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Frequently asked questions

What number should I use to identify JESSICA HEATHER KELLETT (N.P.) for billing?
Administrative and clinical systems typically use NPI 1356770960 for JESSICA HEATHER KELLETT (N.P.).
Should I treat JESSICA HEATHER KELLETT (N.P.) as an active provider?
Patients and plans typically see JESSICA HEATHER KELLETT (N.P.) as active in the national extract.
What type of care does JESSICA HEATHER KELLETT (N.P.) provide?
JESSICA HEATHER KELLETT (N.P.)'s profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to JESSICA HEATHER KELLETT (N.P.)?
JESSICA HEATHER KELLETT (N.P.) shows a connection to Kankakee, Illinois in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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