KELLIE SOLES (NP) – Family Nurse Practitioner, NPI 1104302256
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for KELLIE SOLES (NP)
3045 W Republic Rd
Springfield, MO 658074682
Phone: (417) 889-0056
Type: Location
3045, West Republic Road, Springfield, Greene County, Missouri, 65807, United States
SPRINGFIELD, MO 658074682
Phone: (417) 889-0056
Type: Location
1540 E EVERGREEN ST
SPRINGFIELD, MO 658034300
Phone: (417) 823-2900
Fax: (417) 886-2774
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $303.
Total Amount is formed as General ($303) + Research ($0) + Ownership ($0) = $303.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Novo Nordisk Inc ($66).
Total Amount
$303
General + Research + Ownership
Payments
16
Total payment records
General Amount
$303
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $66 |
| Lilly USA, LLC | $43 |
| PFIZER INC. | $37 |
| IDORSIA PHARMACEUTICALS US INC | $35 |
| AstraZeneca Pharmaceuticals LP | $31 |
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: 2018-08-01
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 |
|---|---|---|---|---|
| I20180801000415 | I | Nurse Practitioner | MO | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 172 | 172 | $0 |
| 81003 | Automated urinalysis test | 33 | 33 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 18 | 18 | $0 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 12 | 12 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 11 | 11 | $0 |
Insurance plans in this area (ZIP 65807)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Physician Assistant | MO | |
| Family Practice | MO | |
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| Physician Assistant | MO | |
| Family Practice | MO | |
| Physician Assistant | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO |
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