KELLEY J TRAVERS (NP) – Adult Health Nurse Practitioner, NPI 1144252354

KELLEY J TRAVERS (NP) is a healthcare provider. based in Brockton, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 252116 (MA). The NPI Number for KELLEY J TRAVERS (NP) is 1144252354

Main info

Female
12 Years Of Experience
Name
KELLEY J TRAVERS (NP)
NPI
1144252354
Phone
(508) 427-3668
Address
830 OAK ST
Enumeration Date
7 July 2006
Last Update Date
21 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5084273000
Graduation Year
2014 (12 years ago)
PAC ID
7214930395
Group Practice PAC ID
2860688728
Professional Enrollment ID
I20060809000488
Address ID
MA023011794BR235XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

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Provider Addresses for KELLEY J TRAVERS (NP)

  • 830, Oak Street, Brockton, Plymouth County, Massachusetts, 02301, United States

    SUITE 105W

    BROCKTON, MA 023011168

    Phone: (508) 427-3668

    Fax: (508) 427-2610

    Type: Mailing

  • 55 FOGG RD

    WEYMOUTH, MA 021902432

    Phone: (781) 624-8000

    Type: Location

  • 830 Oak St

    Suite 105W

    Brockton, MA 023011168

    Phone: (508) 427-3668

    Fax: (508) 427-2610

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $122.

Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.

Last reported payment date: 2024-01-24 • Largest payer in this snapshot: SCPHARMACEUTICALS INC. ($36).

Total Amount

$122

General + Research + Ownership

Payments

7

Total payment records

General Amount

$122

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-24

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: 2006-08-09

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
I20060809000488INurse PractitionerMATBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes269261$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3820$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3524$0
View full utilization report →

Insurance plans in this area (ZIP 02301)

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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: 2860688728View full group profile

Reviews

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Frequently asked questions

What identifier follows KELLEY J TRAVERS (NP) across health systems?
The NPI 1144252354 uniquely identifies KELLEY J TRAVERS (NP) in U.S. healthcare data.
Does the public listing show KELLEY J TRAVERS (NP) as active?
KELLEY J TRAVERS (NP)'s NPI record reflects an active status in NPPES.
What type of care does KELLEY J TRAVERS (NP) provide?
KELLEY J TRAVERS (NP)'s profile centers on Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to KELLEY J TRAVERS (NP)?
KELLEY J TRAVERS (NP) shows a connection to Brockton, Massachusetts in registry-derived data.
Who maintains KELLEY J TRAVERS (NP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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