KELLY SUE DAVIS (AGPCNP-BC) – Gerontology Nurse Practitioner, NPI 1588038475
Gerontology Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
Provider Addresses for KELLY SUE DAVIS (AGPCNP-BC)
213 N RACINE AVE
SUITE 100
CHICAGO, IL 606071644
Phone: (312) 733-9730
Type: Mailing
1801 N Senate Blvd Ste 3500
Indianapolis, IN 462021184
Phone: (317) 962-8893
Fax: (317) 962-5479
Type: Location
6401 E WASHINGTON ST
INDIANAPOLIS, IN 462196614
Phone: (317) 808-7085
Type: Location
250 N SHADELAND AVE
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $181.
Total Amount is formed as General ($181) + Research ($0) + Ownership ($0) = $181.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Janssen Biotech, Inc. ($142).
Total Amount
$181
General + Research + Ownership
Payments
8
Total payment records
General Amount
$181
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $142 |
| Smith+Nephew, Inc. | $39 |
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: 2016-01-11
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 |
|---|---|---|---|---|
| I20160111002072 | I | Nurse Practitioner | IN | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 175 | 163 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 164 | 153 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 29 | 26 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 60607)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Nurse Practitioner | IN | |
| Vascular Surgery | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Vascular Surgery, General Surgery | IN | |
| Vascular Surgery | IN | |
| Vascular Surgery, General Surgery | IN | |
| Nurse Practitioner | IN | |
| Vascular Surgery | IN |
Reviews
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