KELLY J. WEISS-KREPS (DO) – Psychiatry Physician, NPI 1053504670
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
304 PSYCHIATRY in IA
Provider Addresses for KELLY J. WEISS-KREPS (DO)
5517 FOXBORO RD
JOHNSTON, IA 501318806
Phone: (515) 321-6440
Type: Location
4400, West 69th Street, Sioux Falls, Lincoln County, South Dakota, 57108, United States
SUITE 1600
SIOUX FALLS, SD 571088170
Phone: (605) 322-5735
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.
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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: 2019-08-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190830002646 | I | Psychiatry | IA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 57 | 26 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 19 | 19 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 50131)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IA | |
| - | IA | |
| - | IA | |
| - | IA | |
| Nurse Practitioner | IA | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| - | IA | |
| Certified Registered Nurse Anesthetist (Crna) | IA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OK | |
| General Surgery | IA |
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