OPAL PEGGYSUE FELL (ARNP) – Nurse Practitioner, NPI 1205140621

OPAL PEGGYSUE FELL (ARNP) is a healthcare provider. based in Emporia, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. 53-75138-122 (KS). The NPI Number for OPAL PEGGYSUE FELL (ARNP) is 1205140621

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
OPAL PEGGYSUE FELL (ARNP)
NPI
1205140621
Phone
(620) 343-2900
Address
1301 W 12TH AVE
Enumeration Date
27 July 2010
Last Update Date
25 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6203424864
Graduation Year
2010 (16 years ago)
PAC ID
6002037330
Group Practice PAC ID
2961474663
Professional Enrollment ID
I20141029001857
Address ID
KS668015367EM420XXAVEX400

Contacts

Secure Messaging
ofell37942@stormontvaildirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:15State licenses:2Other namesUpdated within 12 months

3,550 NURSE PRACTITIONER in KS

Provider Addresses for OPAL PEGGYSUE FELL (ARNP)

  • 1301 W 12TH AVE

    STE 401

    EMPORIA, KS 668012587

    Phone: (620) 343-2900

    Fax: (620) 343-9484

    Mailing address matches the actual address.

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: 2014-10-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-10-31 (953 days ago).

Enrollment records

1

Earliest due date

2023-10-31

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
I20141029001857INurse PractitionerKS2023-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 sample10853$0
83036Hemoglobin a1c level5830$0
View full utilization report →

Insurance plans in this area (ZIP 66801)

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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: 2961474663View full group profile
NameSpecialtyState
Nurse PractitionerKS
Nurse PractitionerTN
-KS
Clinical Social WorkerFL
Family PracticeKS
Nurse PractitionerKS
-KS
Certified Nurse Midwife (Cnm)KS
-KS
Family Practice, Emergency MedicineKS

Reviews

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Frequently asked questions

Where can patients find OPAL PEGGYSUE FELL (ARNP)'s NPI?
You can confirm OPAL PEGGYSUE FELL (ARNP) with NPI 1205140621; it appears in the national provider directory.
Is OPAL PEGGYSUE FELL (ARNP)'s NPI currently valid?
The extract we use shows OPAL PEGGYSUE FELL (ARNP) as active.
What field does OPAL PEGGYSUE FELL (ARNP) work in?
You can think of OPAL PEGGYSUE FELL (ARNP) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for OPAL PEGGYSUE FELL (ARNP)?
We surface Emporia, Kansas for OPAL PEGGYSUE FELL (ARNP) based on available NPPES addresses.
What if Emporia, Kansas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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