KELLY M WATSON (FNP) – Family Nurse Practitioner, NPI 1154711265
Family Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for KELLY M WATSON (FNP)
1500 N OAKLAND AVE
BOLIVAR, MO 656133099
Phone: (417) 328-4201
Fax: (417) 326-3939
Type: Location
22742 MIDLAND DR
SHAWNEE, KS 662263553
Phone: (913) 441-2293
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 69 Open Payments records for all available years, with a total value of $1,426.
Total Amount is formed as General ($1,426) + Research ($0) + Ownership ($0) = $1,426.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($525).
Total Amount
$1,426
General + Research + Ownership
Payments
69
Total payment records
General Amount
$1,426
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $525 |
| Braeburn Inc. | $184 |
| Lilly USA, LLC | $176 |
| Abbott Laboratories | $141 |
| Alkermes, Inc. | $36 |
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: 2016-05-04
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 |
|---|---|---|---|---|
| I20160504001148 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 65613)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MO | |
| - | MO | |
| - | MO | |
| Urology, Internal Medicine | MO | |
| - | MO | |
| Dermatology, Micrographic Dermatologic Surgery (Mds), Dermatology | MO | |
| Hospitalist, Internal Medicine | KS | |
| Cardiovascular Disease (Cardiology) | MO | |
| Diagnostic Radiology | MO | |
| Clinical Social Worker | MO |
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