TIMOTHY JAMES KELLIE (CNP) – Nurse Practitioner, NPI 1952848301
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for TIMOTHY JAMES KELLIE (CNP)
905 N MACOMB ST STE 3
MONROE, MI 481623076
Phone: (734) 241-0560
Fax: (734) 241-3230
Type: Mailing
975, Monroe Street, Monroe Manor, La Porte, LaPorte County, Indiana, 46350, United States
SUITE C
MONROE, MI 481611478
Phone: (734) 241-0560
Fax: (734) 241-3230
Type: Mailing
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 $119.
Total Amount is formed as General ($119) + Research ($0) + Ownership ($0) = $119.
Last reported payment date: 2024-10-21 • Largest payer in this snapshot: PFIZER INC. ($106).
Total Amount
$119
General + Research + Ownership
Payments
7
Total payment records
General Amount
$119
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $106 |
| ABBVIE INC. | $13 |
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: 2017-02-03
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20170203001991 | I | Nurse Practitioner | MI | 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 |
|---|---|---|---|---|
| 98929 | Osteopathic manipulative treatment, 9-10 body regions | 344 | 52 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 311 | 51 | $0 |
| 98928 | Osteopathic manipulative treatment, 7-8 body regions | 172 | 59 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 150 | 44 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 25 | 11 | $0 |
Insurance plans in this area (ZIP 48162)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Pain Management, Physical Medicine And Rehabilitation | MI | |
| Physical Therapist In Private Practice | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI |
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