MRS. KELLY C EFTINK (FNP) – Family Nurse Practitioner, NPI 1447503909
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 MRS. KELLY C EFTINK (FNP)
60 BUSINESS PARK DR STE A
SUITE A
TROY, MO 633798903
Phone: (366) 333-9723
Fax: (366) 775-1544
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-11-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 8 Medicare enrollment records; no due dates published yet.
Enrollment records
8
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 |
|---|---|---|---|---|
| I20151002001748 | I | Nurse Practitioner | MO | TBD |
| I20250827003909 | I | Nurse Practitioner | TX | TBD |
| I20250903002781 | I | Nurse Practitioner | CA | TBD |
| I20250917002098 | I | Nurse Practitioner | AZ | TBD |
| I20250923003070 | I | Nurse Practitioner | IN | TBD |
| I20251002001834 | I | Nurse Practitioner | NY | TBD |
| I20251008002753 | I | Nurse Practitioner | UT | TBD |
| I20251125000547 | I | Nurse Practitioner | TN | 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 63379)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | NC | |
| Internal Medicine | FL | |
| Nurse Practitioner | PA | |
| Internal Medicine, Family Practice, Internal Medicine | FL | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | MI | |
| Preventive Medicine, Family Practice, Family Practice | CT | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | TN |
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