KELLY FRALICK-GANLEY (N.P.) – Nurse Practitioner, NPI 1487641122

KELLY FRALICK-GANLEY (N.P.) is a healthcare provider. based in Boston, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. 107264 (CO). The NPI Number for KELLY FRALICK-GANLEY (N.P.) is 1487641122

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
KELLY FRALICK-GANLEY (N.P.)
NPI
1487641122
Phone
(970) 476-1110
Address
PO BOX 848997
Enumeration Date
27 September 2005
Last Update Date
6 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9704795036
Graduation Year
1999 (27 years ago)
PAC ID
2668367541
Group Practice PAC ID
8628145414
Professional Enrollment ID
I20040219000106

Contacts

Secure Messaging
vvmc.direct@direct.vvmc.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

5,198 NURSE PRACTITIONER in CO

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Provider Addresses for KELLY FRALICK-GANLEY (N.P.)

  • PO BOX 848997

    BOSTON, MA 022848997

    Phone: (970) 476-1110

    Type: Mailing

  • Vail Health Medical Professional Building, 108, South Frontage Road West, Vail, Eagle County, Colorado, 81657, United States

    SUITE 206

    VAIL, CO 81657

    Phone: (970) 476-1110

    Type: Location

  • PO BOX 40000

    VAIL, CO 816587520

    Phone: (970) 476-1110

    Type: Mailing

  • 180 S FRONTAGE RD W STE 5900

    VAIL, CO 816575038

    Phone: (970) 476-1110

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $220.

Total Amount is formed as General ($220) + Research ($0) + Ownership ($0) = $220.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Philips North America LLC ($61).

Total Amount

$220

General + Research + Ownership

Payments

10

Total payment records

General Amount

$220

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-02-19

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
I20040219000106INurse PractitionerCOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes476310$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report274206$0
85610Blood test, clotting time14928$0
93793Anticoagulant management of patient taking warfarin14928$0
99213Established patient office or other outpatient visit, 20-29 minutes138104$0
View full utilization report →

Insurance plans in this area (ZIP 02284)

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Provider's Procedures

KELLY FRALICK-GANLEY (N.P.) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERCO85610Blood test, clotting time30950

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: 8628145414View full group profile
NameSpecialtyState
Physician AssistantCO
Interventional Cardiology, Cardiovascular Disease (Cardiology)CO
-CO
-CO
Physician AssistantCA
Critical Care (Intensivists), Pulmonary DiseaseCO
Critical Care (Intensivists), Pulmonary DiseaseCO
General SurgeryCO
Physician AssistantCO
General SurgeryCO

Reviews

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Frequently asked questions

What NPI should I save for KELLY FRALICK-GANLEY (N.P.)?
Save NPI 1487641122 if you need a stable reference for KELLY FRALICK-GANLEY (N.P.).
Is KELLY FRALICK-GANLEY (N.P.) active in the national directory?
KELLY FRALICK-GANLEY (N.P.)'s public NPI profile is in an active state.
What field does KELLY FRALICK-GANLEY (N.P.) work in?
You can think of KELLY FRALICK-GANLEY (N.P.) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for KELLY FRALICK-GANLEY (N.P.)?
The page summarizes Boston, Massachusetts for KELLY FRALICK-GANLEY (N.P.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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