KELLY L NEPHEW (DNP, FNP-BC, CME) – Nurse Practitioner, NPI 1902554306

KELLY L NEPHEW (DNP, FNP-BC, CME) is a healthcare provider. based in Davenport, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, FNP-BC, CME. They hold a License No. A167920 (IA). The NPI Number for KELLY L NEPHEW (DNP, FNP-BC, CME) is 1902554306

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KELLY L NEPHEW (DNP, FNP-BC, CME)
NPI
1902554306
Phone
(563) 421-1000
Address
1227 W Rusholme St
Enumeration Date
15 March 2022
Last Update Date
5 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7372266700
Graduation Year
2021 (5 years ago)
PAC ID
2860870896
Group Practice PAC ID
9133536113
Professional Enrollment ID
I20221031000454
Address ID
IA502138267OS444XXDRXX502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:4State licenses:2Digital endpointsOther names

3,529 NURSE PRACTITIONER in IA

Provider Addresses for KELLY L NEPHEW (DNP, FNP-BC, CME)

  • 1227 W Rusholme St

    Davenport, IA 528041825

    Phone: (563) 421-1000

    Type: Location

  • 111 W Jackson Blvd Ste 1700

    Chicago, IL 606043597

    Phone: (337) 408-0797

    Type: Location

  • 1227 W RUSHOLME ST

    DAVENPORT, IA 528041825

    Phone: (309) 269-3065

    Type: Mailing

  • PO BOX 3373

    ROCK ISLAND, IL 612043373

    Phone: (563) 219-7225

    Fax: (563) 823-6665

    Type: Mailing

  • 444 N WEST VIEW DR

    OSCEOLA, IA 502138267

    Phone: (337) 991-9276

    Type: Location

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: 2022-10-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220603001413INurse PractitionerILTBD
I20221031000454INurse PractitionerIATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes11453$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6026$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes4127$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3531$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1817$0
View full utilization report →

Insurance plans in this area (ZIP 52804)

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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: 9133536113View full group profile
NameSpecialtyState
Family PracticeLA
Hospitalist, Internal MedicineIA
Nurse PractitionerLA
Nurse PractitionerIA
Nurse PractitionerIA
Nurse PractitionerIA
Nurse PractitionerIL
Physician AssistantIA
Family PracticeMN
Nurse PractitionerIA

Reviews

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Frequently asked questions

Can I use this page to confirm KELLY L NEPHEW (DNP, FNP-BC, CME)'s NPI?
Yes. KELLY L NEPHEW (DNP, FNP-BC, CME) is listed with NPI 1902554306 in the public NPI dataset.
Does the file indicate KELLY L NEPHEW (DNP, FNP-BC, CME) is practicing under active NPI?
Directory data currently reports KELLY L NEPHEW (DNP, FNP-BC, CME) as active.
What healthcare role does KELLY L NEPHEW (DNP, FNP-BC, CME) hold?
Scheduling teams often label KELLY L NEPHEW (DNP, FNP-BC, CME) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for KELLY L NEPHEW (DNP, FNP-BC, CME)?
KELLY L NEPHEW (DNP, FNP-BC, CME)'s geographic hint is Davenport, Iowa in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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