SARAH KELLEY – Nurse Practitioner, NPI 1700214749
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,637 NURSE PRACTITIONER in IL
Provider Addresses for SARAH KELLEY
PO BOX 309
MORTON, IL 615500309
Phone: (309) 370-1951
Fax: (609) 323-0447
Type: Mailing
221 NE GLEN OAK AVE
EMERGENCY DEPT
PEORIA, IL 616360001
Phone: (309) 999-1091
Fax: (309) 999-1094
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 $111.
Total Amount is formed as General ($111) + Research ($0) + Ownership ($0) = $111.
Last reported payment date: 2023-04-18 • Largest payer in this snapshot: BioXcel Therapeutics, Inc. ($111).
Total Amount
$111
General + Research + Ownership
Payments
1
Total payment records
General Amount
$111
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BioXcel Therapeutics, Inc. | $111 |
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: 2022-09-27
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 |
|---|---|---|---|---|
| I20131206000889 | I | Nurse Practitioner | IL | TBD |
| I20220927000264 | I | Nurse Practitioner | TX | 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 | 21 | 12 | $0 |
Insurance plans in this area (ZIP 61550)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | SC | |
| - | TX | |
| - | AK | |
| Mental Health Counselor | AK | |
| - | WA | |
| - | WA | |
| Internal Medicine, Geriatric Medicine | AK | |
| - | AK | |
| Nurse Practitioner | FL | |
| - | FL |
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