KELLY SUE ANN PEASLEY (NP) – Family Nurse Practitioner, NPI 1972084267

KELLY SUE ANN PEASLEY (NP) is a healthcare provider. based in Muncie, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 71008255A (IN). The NPI Number for KELLY SUE ANN PEASLEY (NP) is 1972084267

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KELLY SUE ANN PEASLEY (NP)
NPI
1972084267
Phone
(765) 286-7000
Address
333 S MADISON ST
Enumeration Date
24 August 2018
Last Update Date
10 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
6406107986
Group Practice PAC ID
6507893187
Professional Enrollment ID
I20180921002207
Address ID
IN473045220MU3607XLNXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

8,192 NURSE PRACTITIONER in IN

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Provider Addresses for KELLY SUE ANN PEASLEY (NP)

  • 333, South Madison Street, Muncie, Delaware County, Indiana, 47305, United States

    MUNCIE, IN 473052465

    Phone: (765) 286-7000

    Fax: (765) 213-2769

    Type: Mailing

  • 8, Jackson Street, Anderson, Madison County, Indiana, 46016, United States

    ANDERSON, IN 460164341

    Phone: (765) 286-7000

    Fax: (765) 213-2769

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $282.

Total Amount is formed as General ($282) + Research ($0) + Ownership ($0) = $282.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: DJO, LLC ($116).

Total Amount

$282

General + Research + Ownership

Payments

8

Total payment records

General Amount

$282

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

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: 2018-09-21

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
I20180921002207INurse PractitionerINTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3627$0
99203New patient office or other outpatient visit, 30-44 minutes2626$0
View full utilization report →

Insurance plans in this area (ZIP 47305)

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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: 6507893187View full group profile
NameSpecialtyState
Physician AssistantIN
Orthopedic SurgeryIN
Orthopedic SurgeryIN
Interventional Pain ManagementIN
Family Practice, HospitalistIN
Orthopedic SurgeryIN
Family PracticeIN
P O D I A T R YIN
Orthopedic SurgeryIN
Pain ManagementIN

Reviews

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Frequently asked questions

Can I cross-check KELLY SUE ANN PEASLEY (NP) using NPI 1972084267?
NPI 1972084267 belongs to KELLY SUE ANN PEASLEY (NP); compare other details if you need extra assurance.
Would KELLY SUE ANN PEASLEY (NP) appear as active to a payer?
You can treat KELLY SUE ANN PEASLEY (NP) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for KELLY SUE ANN PEASLEY (NP)?
At a glance, KELLY SUE ANN PEASLEY (NP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KELLY SUE ANN PEASLEY (NP)?
Travel planning: use Muncie, Indiana as the reference point for KELLY SUE ANN PEASLEY (NP), then confirm.
When was this NPI issued?
Enumeration for KELLY SUE ANN PEASLEY (NP) is noted as August 24, 2018 where the registry provides it.

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