KELLY E YOXALL (MD) – Family Medicine Physician, NPI 1417912643

KELLY E YOXALL (MD) is a healthcare provider. based in Minneapolis, Kansas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 0429271 (KS). The NPI Number for KELLY E YOXALL (MD) is 1417912643

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
KELLY E YOXALL (MD)
NPI
1417912643
Phone
(785) 392-2144
Address
830 ELM ST
Enumeration Date
19 April 2006
Last Update Date
17 January 2017

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
-
Graduation Year
1987 (39 years ago)
PAC ID
0042309445
Group Practice PAC ID
0446168215
Professional Enrollment ID
I20080205000539
Address ID
KS674014144SA400XXAVEX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,421 FAMILY PRACTICE in KS

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Provider Addresses for KELLY E YOXALL (MD)

  • 830, Elm Street, Minneapolis, Ottawa County, Kansas, 67467, United States

    MINNEAPOLIS, KS 674671608

    Phone: (785) 392-2144

    Fax: (785) 392-3231

    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: 2008-02-05

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
I20080205000539IFamily PracticeKSTBD

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
99283Emergency department visit with low level of medical decision making1414$0
View full utilization report →

Insurance plans in this area (ZIP 67467)

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Provider's Procedures

KELLY E YOXALL (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEKS20610Aspiration and/or injection of large joint or joint capsule2314

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: 0446168215View full group profile
NameSpecialtyState
-KS
Hospitalist, Family Practice, Emergency MedicineKS
-KS
Nurse PractitionerKS
Family Practice, Emergency MedicineKS
Internal Medicine, HospitalistKS
-KS
Pulmonary Disease, Sleep Medicine, Critical Care (Intensivists)KS
-KS
Emergency MedicineKS

Reviews

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Frequently asked questions

What federal number belongs to KELLY E YOXALL (MD)?
The federal identifier for KELLY E YOXALL (MD) is NPI 1417912643.
Is KELLY E YOXALL (MD)'s NPI currently valid?
The extract we use shows KELLY E YOXALL (MD) as active.
Does KELLY E YOXALL (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for KELLY E YOXALL (MD). Clinical services aligned with this taxonomy classification.
What location shows for KELLY E YOXALL (MD)?
We surface Minneapolis, Kansas for KELLY E YOXALL (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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