KACI RAE MEDLEY (APRN) – Nurse Practitioner, NPI 1821624339

KACI RAE MEDLEY (APRN) is a healthcare provider. based in Benton, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 1147322 (KY). The NPI Number for KACI RAE MEDLEY (APRN) is 1821624339

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
KACI RAE MEDLEY (APRN)
NPI
1821624339
Phone
Not provided
Address
423 DUNNIGAN LN
Enumeration Date
16 March 2020
Last Update Date
16 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2704423647
Graduation Year
2020 (6 years ago)
PAC ID
8325455215
Group Practice PAC ID
5597867184
Professional Enrollment ID
I20210319001175
Address ID
KY420017106PA1920XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for KACI RAE MEDLEY (APRN)

  • 423 DUNNIGAN LN

    BENTON, KY 420256956

    Phone:

    Type: Mailing

  • 2501 KENTUCKY AVE

    PADUCAH, KY 420033813

    Phone: (270) 575-2100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 201 Open Payments records for all available years, with a total value of $3,883.

Total Amount is formed as General ($3,883) + Research ($0) + Ownership ($0) = $3,883.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($819).

Total Amount

$3,883

General + Research + Ownership

Payments

201

Total payment records

General Amount

$3,883

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2021-03-19

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
I20210319001175INurse PractitionerKYTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes201125$0
99214Established patient office or other outpatient visit, 30-39 minutes8262$0
94375Test to measure rate of airflow3938$0
94729Test to examine how well the lungs exchange gases3131$0
94010Test to measure expiratory airflow and volume1111$0
View full utilization report →

Insurance plans in this area (ZIP 42025)

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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: 5597867184View full group profile
NameSpecialtyState
Physician AssistantKY
Nurse PractitionerKY
-KY
-KY
General PracticeKY
P S Y C H I A T R YKY
Thoracic Surgery, Cardiac SurgeryKY
Hematology/Oncology, Internal MedicineKY
-FL
-KY

Reviews

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Frequently asked questions

Is KACI RAE MEDLEY (APRN) listed with a National Provider Identifier?
Yes — KACI RAE MEDLEY (APRN) has NPI 1821624339 on file in the registry.
Is KACI RAE MEDLEY (APRN) still an active registrant?
KACI RAE MEDLEY (APRN) carries an active NPI according to the public dataset.
What kind of doctor is KACI RAE MEDLEY (APRN)?
KACI RAE MEDLEY (APRN) is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for KACI RAE MEDLEY (APRN)?
Travel planning: use Benton, Kentucky as the reference point for KACI RAE MEDLEY (APRN), then confirm.
Does KACI RAE MEDLEY (APRN) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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