MRS. KELLY ANN ADCOCK (BSN MSN APN) – Acute Care Nurse Practitioner, NPI 1386707354
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
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Provider Addresses for MRS. KELLY ANN ADCOCK (BSN MSN APN)
Subway, 900, Main Street, Peoria, Peoria County, Illinois, 61602, United States
SUITE 320
PEORIA, IL 616021005
Phone: (309) 672-3140
Fax: (309) 672-3145
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 10 Open Payments records for all available years, with a total value of $482.
Total Amount is formed as General ($482) + Research ($0) + Ownership ($0) = $482.
Last reported payment date: 2024-06-28 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($145).
Total Amount
$482
General + Research + Ownership
Payments
10
Total payment records
General Amount
$482
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-28
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-08-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040825000322 | I | Nurse Practitioner | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 412 | 332 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 306 | 272 | $0 |
Insurance plans in this area (ZIP 61602)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| - | IL | |
| Radiation Oncology | NC | |
| - | IL | |
| - | IL | |
| - | OK | |
| U R O L O G Y | AR | |
| Internal Medicine | IL | |
| Emergency Medicine | IL | |
| Family Practice | IL |
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