KELLY NIEMAN (ARNP) – Family Nurse Practitioner, NPI 1720580277
Family Nurse Practitioner
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NPPES metrics only — not quality of care.
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Provider Addresses for KELLY NIEMAN (ARNP)
Mercy Family Clinic - Clear Lake, 1410, 6th Avenue South, Clear Lake, Cerro Gordo County, Iowa, 50428, United States
CLEAR LAKE, IA 50428
Phone: (641) 357-2191
Fax: (641) 357-6020
Type: Location
401 SOUTH 15TH STREET
CLEAR LAKE, IA 50428
Phone: (641) 357-7442
Fax: (641) 357-3070
Type: Location
South Illinois Avenue, Regency, Mason City, Cerro Gordo County, Iowa, 50402, United States
MASON CITY, IA 504015489
Phone: (641) 428-3041
Fax: (641) 428-3059
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: 2018-03-26
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 |
|---|---|---|---|---|
| I20180326000603 | I | Nurse Practitioner | 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 | 58 | 51 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 36 | 33 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 13 | 13 | $0 |
Insurance plans in this area (ZIP 50428)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | IA | |
| Physician Assistant | TN | |
| - | IA | |
| - | PA | |
| Cardiovascular Disease (Cardiology), Critical Care (Intensivists) | IA | |
| Certified Registered Nurse Anesthetist (Crna) | IA | |
| Physician Assistant | IA | |
| - | IA | |
| Sleep Medicine | IA | |
| Nurse Practitioner | IA |
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