KELLY KARR – Nurse Practitioner, NPI 1467827592

KELLY KARR is a healthcare provider. based in Bloomington, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 041-370455 (IL). The NPI Number for KELLY KARR is 1467827592

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KELLY KARR
NPI
1467827592
Phone
(309) 663-2100
Address
1505 EASTLAND DR
Enumeration Date
1 December 2015
Last Update Date
5 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2175305608
Graduation Year
2015 (11 years ago)
PAC ID
3678877883
Group Practice PAC ID
2062889371
Professional Enrollment ID
I20160209001723
Address ID
IL618532764MA1204XSTXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:10State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for KELLY KARR

  • 1505 EASTLAND DR

    BLOOMINGTON, IL 617013534

    Phone: (309) 663-2100

    Fax: (309) 663-8322

    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 23 Open Payments records for all available years, with a total value of $496.

Total Amount is formed as General ($496) + Research ($0) + Ownership ($0) = $496.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($181).

Total Amount

$496

General + Research + Ownership

Payments

23

Total payment records

General Amount

$496

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

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: 2016-02-09

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
I20160209001723INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes2929$0
View full utilization report →

Insurance plans in this area (ZIP 61701)

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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: 2062889371View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Clinical Social WorkerIL
Mental Health CounselorIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Can I verify KELLY KARR with an NPI only?
You can start verification with NPI 1467827592 for KELLY KARR, then check state licensing separately.
Can I rely on KELLY KARR being an active provider?
As of the registry snapshot, KELLY KARR is marked active.
What taxonomy line describes KELLY KARR?
For research purposes, treat KELLY KARR as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for KELLY KARR?
KELLY KARR's geographic hint is Bloomington, Illinois in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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