KELSEY L PROEHL (FNP-BC) – Family Nurse Practitioner, NPI 1699315697
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for KELSEY L PROEHL (FNP-BC)
70 MEADOWVIEW CTR
STE 300
KANKAKEE, IL 609012062
Phone: (815) 802-0022
Fax: (815) 935-1000
Type: Mailing
70 MEADOWVIEW CTR STE 300
KANKAKEE, IL 609012062
Phone: (815) 802-0022
Fax: (815) 802-0011
Type: Location
333 1st St Ste A
San Francisco, CA 941052661
Phone: (415) 840-0560
Type: Location
555 Andover Park W Ste 200
Tukwila, WA 981883379
Phone: (415) 840-0560
Type: Location
2894 SAND OAK LOOP
APOPKA, FL 327121438
Phone: (517) 202-0836
Fax: (517) 202-0836
Type: Mailing
21660 W FIELD PKWY
DEER PARK, IL 600107265
Phone: (888) 803-3370
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2023-01-24 • Largest payer in this snapshot: ABBVIE INC. ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $19 |
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: 2026-03-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20251121002211 | I | Nurse Practitioner | WA | TBD |
| I20260309001159 | I | Nurse Practitioner | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60901)
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