JESSICA LYNN KELLEY (NP-C) – Family Nurse Practitioner, NPI 1043526403
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for JESSICA LYNN KELLEY (NP-C)
PO BOX 338
WINDOM, MN 561010338
Phone: (507) 831-8405
Fax: (507) 831-4668
Type: Mailing
820 2ND AVE N
WINDOM, MN 561011761
Phone: (507) 831-8405
Fax: (507) 831-5668
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $228.
Total Amount is formed as General ($228) + Research ($0) + Ownership ($0) = $228.
Last reported payment date: 2024-07-10 • Largest payer in this snapshot: Novo Nordisk Inc ($213).
Total Amount
$228
General + Research + Ownership
Payments
3
Total payment records
General Amount
$228
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $213 |
| Medtronic, Inc. | $15 |
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: 2013-11-02
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 |
|---|---|---|---|---|
| I20131102000200 | I | Nurse Practitioner | IA | 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 | 293 | 133 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 278 | 156 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 150 | 106 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 112 | 93 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 108 | 73 | $0 |
Insurance plans in this area (ZIP 56101)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IA | |
| Nurse Practitioner | IA | |
| Family Practice, Emergency Medicine | IA | |
| Medical Oncology | MN | |
| Physical Therapist In Private Practice | IA | |
| Family Practice, Hospitalist | IA | |
| Family Practice | IA | |
| Family Practice | SD | |
| Nurse Practitioner | IA | |
| General Practice | KS |
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