KELSEY RADER (FNP) – Family Nurse Practitioner, NPI 1104479013
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
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Provider Addresses for KELSEY RADER (FNP)
1910, Michigan Box Company, Detroit, Wayne County, Michigan, 48211, United States
DETROIT, MI 482781076
Phone: (317) 528-4800
Type: Mailing
Saint Francis Way, Lafayette, Tippecanoe County, Indiana, 47905, United States
LAFAYETTE, IN 479054917
Phone: (765) 775-2830
Fax: (765) 775-2826
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 51 Open Payments records for all available years, with a total value of $929.
Total Amount is formed as General ($929) + Research ($0) + Ownership ($0) = $929.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($265).
Total Amount
$929
General + Research + Ownership
Payments
51
Total payment records
General Amount
$929
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Supernus Pharmaceuticals, Inc. | $265 |
| Corium, LLC | $147 |
| ABBVIE INC. | $137 |
| AstraZeneca Pharmaceuticals LP | $73 |
| Exact Sciences Corporation | $63 |
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: 2019-09-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190926001121 | I | Nurse Practitioner | IN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 12 | 12 | $0 |
Insurance plans in this area (ZIP 48278)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Qualified Audiologist | IN | |
| Nurse Practitioner | IN | |
| Qualified Audiologist | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Clinical Social Worker | IN |
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