KELLEY GREALISH (N.P.) – Adult Health Nurse Practitioner, NPI 1407150451

KELLEY GREALISH (N.P.) is a healthcare provider. based in Arlington, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. 181523 (MA). The NPI Number for KELLEY GREALISH (N.P.) is 1407150451

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
KELLEY GREALISH (N.P.)
NPI
1407150451
Phone
(781) 648-6124
Address
93 SPRING ST
Enumeration Date
5 January 2011
Last Update Date
5 January 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7814872900
Graduation Year
2009 (17 years ago)
PAC ID
0840474268
Group Practice PAC ID
6507803806
Professional Enrollment ID
I20110409000043
Address ID
MA024511132WA40XXXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for KELLEY GREALISH (N.P.)

  • 93 SPRING ST

    ARLINGTON, MA 024767923

    Phone: (781) 648-6124

    Type: Mailing

  • 55 FRUIT ST

    BOSTON, MA 021142621

    Phone: (617) 726-2000

    Type: Location

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: 2011-04-09

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
I20110409000043INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02476)

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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: 6507803806View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMA
Internal MedicineMA
-MA
-MA
Anesthesiology, Pain ManagementMA
-MA
Clinical PsychologistMA
Internal MedicineMA
Internal MedicineMA
-MA

Reviews

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Frequently asked questions

What NPI should I save for KELLEY GREALISH (N.P.)?
Save NPI 1407150451 if you need a stable reference for KELLEY GREALISH (N.P.).
Does this profile mean KELLEY GREALISH (N.P.) is currently active?
Yes — KELLEY GREALISH (N.P.) appears active in the national provider directory.
Does KELLEY GREALISH (N.P.) list a primary specialty?
If you are matching referrals, note Adult Health Nurse Practitioner for KELLEY GREALISH (N.P.). Clinical services aligned with this taxonomy classification.
Where does public data place KELLEY GREALISH (N.P.)?
The snapshot lists Arlington, Massachusetts for KELLEY GREALISH (N.P.); download NPPES for the complete set.
Is KELLEY GREALISH (N.P.) a real provider?
This page reflects official NPPES data for NPI 1407150451. Always confirm identity and privileges with the practice and licensing boards.

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