REBECCA B KELLEY (M.D.) – Family Medicine Physician, NPI 1023099579

REBECCA B KELLEY (M.D.) is a healthcare provider. based in Auxvasse, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 106418 (MO). The NPI Number for REBECCA B KELLEY (M.D.) is 1023099579

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA B KELLEY (M.D.)
NPI
1023099579
Phone
(573) 386-5959
Address
PO BOX 190
Enumeration Date
10 November 2005
Last Update Date
1 December 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
5736825588
Graduation Year
1994 (32 years ago)
PAC ID
4385554658
Group Practice PAC ID
6507090644
Professional Enrollment ID
I20100524000534
Address ID
MO652401183CE1021X22XX400

Contacts

Secure Messaging
rkelley135759@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
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

2,330 FAMILY PRACTICE in MO

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Provider Addresses for REBECCA B KELLEY (M.D.)

  • PO BOX 190

    AUXVASSE, MO 652310190

    Phone: (573) 386-5959

    Fax: (573) 386-5995

    Type: Mailing

  • 201, South Main Street, Auxvasse, Callaway County, Missouri, 65231, United States

    AUXVASSE, MO 652312258

    Phone: (573) 386-5959

    Fax: (573) 386-5995

    Type: Location

  • 1021 E HIGHWAY 22

    CENTRALIA, MO 652401183

    Phone: (573) 582-5588

    Fax: (573) 682-1539

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $1,682.

Total Amount is formed as General ($1,682) + Research ($0) + Ownership ($0) = $1,682.

Last reported payment date: 2024-07-31 • Largest payer in this snapshot: ABBVIE INC. ($1,618).

Total Amount

$1,682

General + Research + Ownership

Payments

13

Total payment records

General Amount

$1,682

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-31

Latest reported date

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: 2010-05-24

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
I20100524000534IFamily PracticeMOTBD

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
81003Automated urinalysis test2622$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza1514$0
View full utilization report →

Insurance plans in this area (ZIP 65231)

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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: 6507090644View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Hospitalist, Internal MedicineMO
Nurse PractitionerMO
Physical Therapist In Private PracticeMO
-WI
Infectious Disease, Hospitalist, Internal MedicineNM
Internal Medicine, HospitalistMO
-MO

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify REBECCA B KELLEY (M.D.) for billing?
Administrative and clinical systems typically use NPI 1023099579 for REBECCA B KELLEY (M.D.).
Does the public listing show REBECCA B KELLEY (M.D.) as active?
REBECCA B KELLEY (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits REBECCA B KELLEY (M.D.)?
NPPES ties REBECCA B KELLEY (M.D.) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to REBECCA B KELLEY (M.D.)?
REBECCA B KELLEY (M.D.) shows a connection to Auxvasse, Missouri in registry-derived data.
Can I export REBECCA B KELLEY (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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