KELLY MCKINNEY (NP) – Nurse Practitioner, NPI 1376929760
Nurse Practitioner
Main info
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 MCKINNEY (NP)
1225 GRAHAM RD STE 230C
FLORISSANT, MO 630318012
Phone: (314) 953-6801
Fax: (314) 953-8272
Type: Mailing
8706 Manchester Rd Ste 106
Saint Louis, MO 631442733
Phone: (314) 961-3570
Fax: (314) 961-6450
Type: Location
400 Mid Rivers Mall Dr
Saint Peters, MO 633761577
Phone: (866) 389-2727
Type: Location
1675 TURF LN
FLORISSANT, MO 630332343
Phone:
Type: Mailing
400 MID RIVERS MALL DR
SAINT PETERS, MO 633761577
Phone: (866) 389-2727
Type: Location
1225 GRAHAM RD STE C-1340
FLORISSANT, MO 630318019
Phone: (314) 953-6801
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $137.
Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.
Last reported payment date: 2023-11-30 • Largest payer in this snapshot: ABBVIE INC. ($114).
Total Amount
$137
General + Research + Ownership
Payments
6
Total payment records
General Amount
$137
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $114 |
| ITI, Inc. | $23 |
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: 2015-09-03
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 |
|---|---|---|---|---|
| I20150903000198 | 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 63031)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IA |
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