AMY L JELLEY – Occupational Therapist, NPI 1871717082

AMY L JELLEY is a healthcare provider. based in Avon, Indiana. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 0119003534 (VA). The NPI Number for AMY L JELLEY is 1871717082

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
AMY L JELLEY
NPI
1871717082
Phone
(317) 943-1837
Address
2141 N DAN JONES RD
Enumeration Date
12 April 2007
Last Update Date
14 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3179431837
Graduation Year
1991 (35 years ago)
PAC ID
7810303914
Group Practice PAC ID
2365359932
Professional Enrollment ID
I20210316001754
Address ID
IN461236023AV2141XRDXX500

Contacts

Main Contact
amy.jelley@genesishcc.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

490 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in IN

Provider Addresses for AMY L JELLEY

  • 2141 N DAN JONES RD

    AVON, IN 461236023

    Phone: (317) 943-1837

    Type: Location

  • 305 Marcella Rd

    Hampton, VA 236662433

    Phone: (757) 825-0455

    Fax: (757) 825-0455

    Type: Location

  • 73 WINSTER FAX

    WILLIAMSBURG, VA 23185

    Phone: (757) 253-1942

    Fax: (757) 253-1942

    Type: Mailing

  • 305 MARCELLA RD

    HAMPTON, VA 236662433

    Phone: (757) 825-0455

    Fax: (757) 825-0455

    Type: Location

  • 19376 PRAIRIE CROSSING DR

    NOBLESVILLE, IN 460626686

    Phone: (757) 784-4083

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-03-16

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
I20210316001754IOccupational Therapist In Private PracticeINTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes3,49831$0
97530Therapy procedure using functional activities1,29131$0
97535Training for self-care or home management, each 15 minutes31231$0
97166Evaluation for occupational therapy, typically 45 minutes2723$0
View full utilization report →

Insurance plans in this area (ZIP 46123)

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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: 2365359932View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWV
Occupational Therapist In Private PracticePA
Occupational Therapist In Private PracticeDC
Internal MedicineMI
Anesthesiology, Interventional Pain ManagementMI
Occupational Therapist In Private PracticeWV
Family PracticeMI
Family PracticeMI
Physical Therapist In Private PracticeMO
Occupational Therapist In Private PracticeMD

Reviews

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Frequently asked questions

What unique ID ties claims to AMY L JELLEY?
NPI 1871717082 is assigned to AMY L JELLEY under the national enumeration system.
Does this profile mean AMY L JELLEY is currently active?
Yes — AMY L JELLEY appears active in the national provider directory.
Can you summarize AMY L JELLEY's specialty in plain language?
Clinically, the directory lists AMY L JELLEY with Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where is AMY L JELLEY's primary listing?
We display Avon, Indiana because that is what the record indicates for AMY L JELLEY.
Is AMY L JELLEY a real provider?
This page reflects official NPPES data for NPI 1871717082. Always confirm identity and privileges with the practice and licensing boards.

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