KATHRYN KELLEY (LMHC, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1992186779
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,049 NURSE PRACTITIONER in MA
Provider Addresses for KATHRYN KELLEY (LMHC, PMHNP-BC)
1120 HANCOCK ST
QUINCY, MA 021694313
Phone: (617) 471-8400
Fax: (617) 376-8910
Type: Mailing
274 Madison Ave Rm 1501
New York, NY 100160701
Phone: (212) 203-1973
Type: Location
27 CHILTON AVE
KINGSTON, MA 023641746
Phone: (819) 742-4787
Type: Mailing
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: 2025-04-28
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20250428000066 | I | Nurse Practitioner | NY | TBD |
| I20250428000659 | I | Nurse Practitioner | MA | 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 02169)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | NY | |
| Clinical Social Worker | NY | |
| Clinical Social Worker | NY | |
| Mental Health Counselor | IL | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | NY |
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