KELLI MCCORMICK (ARNP) – Nurse Practitioner, NPI 1962841304

KELLI MCCORMICK (ARNP) is a healthcare provider. based in Des moines, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. A093029 (IA). The NPI Number for KELLI MCCORMICK (ARNP) is 1962841304

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
KELLI MCCORMICK (ARNP)
NPI
1962841304
Phone
(515) 961-8448
Address
PO BOX 1475
Enumeration Date
19 June 2013
Last Update Date
19 June 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
6800039611
Group Practice PAC ID
7911810882
Professional Enrollment ID
I20130827000279
Address ID
IA501254865IN307XXAVEX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

3,532 NURSE PRACTITIONER in IA

Provider Addresses for KELLI MCCORMICK (ARNP)

  • PO BOX 1475

    DES MOINES, IA 503051475

    Phone: (515) 961-8448

    Fax: (515) 643-9100

    Type: Mailing

  • 307 E SCENIC VALLEY AVE

    INDIANOLA, IA 501254865

    Phone: (515) 961-8448

    Fax: (515) 643-9100

    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: 2013-08-27

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
I20130827000279INurse 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
36415Insertion of needle into vein for collection of blood sample411199$0
99214Established patient office or other outpatient visit, 30-39 minutes330182$0
85027Complete blood cell count (red cells, white blood cell, platelets), automated test149106$0
99213Established patient office or other outpatient visit, 20-29 minutes14199$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit100100$0
View full utilization report →

Insurance plans in this area (ZIP 50305)

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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: 7911810882View full group profile
NameSpecialtyState
Clinical PsychologistIA
Nurse PractitionerTX
P S Y C H I A T R YIA
-IA
Family PracticeIA
Family PracticeIA
-NE
Family PracticeIA
Physician AssistantIA
-IA

Reviews

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Frequently asked questions

How do I look up KELLI MCCORMICK (ARNP) by NPI?
Use NPI 1962841304 when you need to reference KELLI MCCORMICK (ARNP) in forms, claims, or directories.
Is KELLI MCCORMICK (ARNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does KELLI MCCORMICK (ARNP) treat or focus on?
Patients typically see KELLI MCCORMICK (ARNP) under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is KELLI MCCORMICK (ARNP)'s primary listing?
We display Des Moines, Iowa because that is what the record indicates for KELLI MCCORMICK (ARNP).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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