KELLY ANDREA MARTIN (APRN-C) – Family Nurse Practitioner, NPI 1619123353
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for KELLY ANDREA MARTIN (APRN-C)
1632 OLD FOSTERBURG RD
ALTON, IL 620028840
Phone: (618) 616-3672
Type: Mailing
1285 Franciscan Dr
Litchfield, IL 620561778
Phone: (217) 324-6127
Fax: (217) 324-5959
Type: Location
1285, Franciscan Drive, Litchfield, Montgomery County, Illinois, 62056, United States
LITCHFIELD, IL 620561778
Phone: (217) 324-6127
Fax: (217) 324-5959
Type: Mailing
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL 620406805
Phone: (618) 877-4420
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $237.
Total Amount is formed as General ($237) + Research ($0) + Ownership ($0) = $237.
Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Amgen Inc. ($57).
Total Amount
$237
General + Research + Ownership
Payments
11
Total payment records
General Amount
$237
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $57 |
| E.R. Squibb & Sons, L.L.C. | $30 |
| ABBVIE INC. | $26 |
| Otsuka America Pharmaceutical, Inc. | $23 |
| GENZYME CORPORATION | $23 |
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: 2017-12-27
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 |
|---|---|---|---|---|
| I20171227001341 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 87 | 76 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 38 | 38 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 35 | 28 | $0 |
Insurance plans in this area (ZIP 62002)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | IL | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | IL | |
| Psychiatry, Geriatric Psychiatry | IL | |
| Nurse Practitioner | IL | |
| Mental Health Counselor | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| Nurse Practitioner | IL |
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