KELLEY R. EASTON (MSN, FNP-BC, NP-C) – Family Nurse Practitioner, NPI 1477719987

KELLEY R. EASTON (MSN, FNP-BC, NP-C) is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, FNP-BC, NP-C. They hold a License No. 3004175 (KY). The NPI Number for KELLEY R. EASTON (MSN, FNP-BC, NP-C) is 1477719987

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
KELLEY R. EASTON (MSN, FNP-BC, NP-C)
NPI
1477719987
Phone
(502) 588-9490
Address
PO BOX 776351
Enumeration Date
4 August 2008
Last Update Date
1 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5022978900
Graduation Year
2003 (23 years ago)
PAC ID
3274429907
Group Practice PAC ID
5597867184
Professional Enrollment ID
I20150810001055
Address ID
KY402993616LO10216RDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

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Provider Addresses for KELLEY R. EASTON (MSN, FNP-BC, NP-C)

  • PO BOX 776351

    CHICAGO, IL 606776351

    Phone: (502) 588-9490

    Fax: (502) 272-5116

    Type: Mailing

  • Creekside Crossing II, 8, Cadillac Drive, Williamsburg Estates, Brentwood, Williamson County, Tennessee, 37027, United States

    SUITE 250

    BRENTWOOD, TN 370275087

    Phone: (615) 425-4200

    Fax: (615) 425-4271

    Type: Mailing

  • Kroger, 185, Adam Shepherd Parkway, Shepherdsville, Bullitt County, Kentucky, 40165, United States

    SHEPHERDSVILLE, KY 401656578

    Phone: (502) 921-5450

    Type: Location

  • 185 Adam Shepherd Pkwy

    Shepherdsville, KY 401656578

    Phone: (502) 921-5450

    Type: Location

  • 890 Richmond Plz

    Richmond, KY 404752564

    Phone: (859) 623-5155

    Fax: (859) 623-9924

    Type: Location

  • 189 OUTER LOOP

    LOUISVILLE, KY 402145544

    Phone: (502) 363-1731

    Fax: (502) 364-9272

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $176.

Total Amount is formed as General ($176) + Research ($0) + Ownership ($0) = $176.

Last reported payment date: 2024-04-29 • Largest payer in this snapshot: Novo Nordisk Inc ($162).

Total Amount

$176

General + Research + Ownership

Payments

4

Total payment records

General Amount

$176

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$162
PFIZER INC.$14
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: 2015-08-10

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
I20150810001055INurse PractitionerKYTBD

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 minutes7157$0
36415Insertion of needle into vein for collection of blood sample4037$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1717$0
99213Established patient office or other outpatient visit, 20-29 minutes1616$0
80305Testing for presence of drug, read by direct observation1111$0
View full utilization report →

Insurance plans in this area (ZIP 60677)

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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: 5597867184View full group profile
NameSpecialtyState
Nurse PractitionerKY
-KY
-KY
General PracticeKY
P S Y C H I A T R YKY
Thoracic Surgery, Cardiac SurgeryKY
N E U R O S U R G E R YKY
Physician AssistantKY
Emergency Medicine, General PracticeKY
Hematology/Oncology, Internal MedicineKY

Reviews

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Frequently asked questions

What is the 10-digit NPI for KELLEY R. EASTON (MSN, FNP-BC, NP-C)?
KELLEY R. EASTON (MSN, FNP-BC, NP-C) — NPI 1477719987 — is the standard way to identify this listing.
Is KELLEY R. EASTON (MSN, FNP-BC, NP-C) listed as active for patients and plans?
The listing shows KELLEY R. EASTON (MSN, FNP-BC, NP-C) as active in the NPI system.
What taxonomy line describes KELLEY R. EASTON (MSN, FNP-BC, NP-C)?
For research purposes, treat KELLEY R. EASTON (MSN, FNP-BC, NP-C) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does KELLEY R. EASTON (MSN, FNP-BC, NP-C) list a practice location?
Patients near Chicago, Illinois may find KELLEY R. EASTON (MSN, FNP-BC, NP-C) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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