KELLIE SUE JONES (FNP-C) – Family Nurse Practitioner, NPI 1730861055

KELLIE SUE JONES (FNP-C) is a healthcare provider. based in Macomb, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 209.028265 (IL). The NPI Number for KELLIE SUE JONES (FNP-C) is 1730861055

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KELLIE SUE JONES (FNP-C)
NPI
1730861055
Phone
(641) 218-4961
Address
530 MEADOW DR
Enumeration Date
4 August 2023
Last Update Date
19 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2023 (3 years ago)
PAC ID
6507213980
Group Practice PAC ID
0446140180
Professional Enrollment ID
I20231107000269
Address ID
IL614553313MA525XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for KELLIE SUE JONES (FNP-C)

  • 530 MEADOW DR

    MACOMB, IL 614559320

    Phone: (641) 218-4961

    Type: Mailing

  • 1150 N COLE ST

    BUSHNELL, IL 614229503

    Phone: (309) 772-2255

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $97.

Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($49).

Total Amount

$97

General + Research + Ownership

Payments

5

Total payment records

General Amount

$97

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-11-07

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
I20231107000269INurse PractitionerILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61455)

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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: 0446140180View full group profile
NameSpecialtyState
-IL
Nurse PractitionerIL
Certified Registered Nurse Anesthetist (Crna)IL
General SurgeryIL
-TN
A N E S T H E S I O L O G YIA
Physician AssistantIL
-IL
Internal Medicine, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology)WI
Nurse PractitionerIL

Reviews

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Frequently asked questions

What federal number belongs to KELLIE SUE JONES (FNP-C)?
The federal identifier for KELLIE SUE JONES (FNP-C) is NPI 1730861055.
Is KELLIE SUE JONES (FNP-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is KELLIE SUE JONES (FNP-C)?
The page reflects Family Nurse Practitioner for KELLIE SUE JONES (FNP-C). Clinical services aligned with this taxonomy classification.
Where does public data place KELLIE SUE JONES (FNP-C)?
The snapshot lists Macomb, Illinois for KELLIE SUE JONES (FNP-C); download NPPES for the complete set.
Is KELLIE SUE JONES (FNP-C) a real provider?
This page reflects official NPPES data for NPI 1730861055. Always confirm identity and privileges with the practice and licensing boards.

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