KELLY D FAULKNER (A.R.N.P.) – Nurse Practitioner, NPI 1013961895
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KELLY D FAULKNER (A.R.N.P.)
Paducah Post Office, South 4th Street, Paducah, McCracken County, Kentucky, 42003, United States
PADUCAH, KY 420027208
Phone: (270) 415-9575
Fax: (270) 415-9576
Type: Mailing
5150, Village Square Drive, Concord, Paducah, McCracken County, Kentucky, 42001, United States
PADUCAH, KY 420019060
Phone: (270) 415-9575
Fax: (270) 415-9576
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 89 Open Payments records for all available years, with a total value of $1,501.
Total Amount is formed as General ($1,501) + Research ($0) + Ownership ($0) = $1,501.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Novo Nordisk Inc ($300).
Total Amount
$1,501
General + Research + Ownership
Payments
89
Total payment records
General Amount
$1,501
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $300 |
| AstraZeneca Pharmaceuticals LP | $255 |
| PFIZER INC. | $162 |
| Lilly USA, LLC | $114 |
| ABBVIE INC. | $83 |
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: 2008-11-12
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 |
|---|---|---|---|---|
| I20081112000590 | I | Nurse Practitioner | KY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 42002)
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