DEBBIE L KELLY (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1518256635

DEBBIE L KELLY (PMHNP-BC) is a healthcare provider. based in Osage beach, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 277001669 (IL). The NPI Number for DEBBIE L KELLY (PMHNP-BC) is 1518256635

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DEBBIE L KELLY (PMHNP-BC)
NPI
1518256635
Phone
(573) 302-0319
Address
840 PASSOVER RD
Enumeration Date
29 March 2011
Last Update Date
4 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8152846611
Graduation Year
2011 (15 years ago)
PAC ID
0648456129
Group Practice PAC ID
3476459876
Professional Enrollment ID
I20110518000020
Address ID
IL610219118DI325XX2XXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

Provider Addresses for DEBBIE L KELLY (PMHNP-BC)

  • 840 PASSOVER RD

    OSAGE BEACH, MO 650652834

    Phone: (573) 302-0319

    Fax: (573) 693-1680

    Type: Mailing

  • 325 ILLINOIS RT 2

    DIXON, IL 610219118

    Phone: (815) 284-6611

    Type: Mailing

  • 185 W CITY LIMITS RD

    BRIGHTON, IL 620122335

    Phone: (618) 315-1387

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $83.

Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Gilead Sciences, Inc. ($83).

Total Amount

$83

General + Research + Ownership

Payments

1

Total payment records

General Amount

$83

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Gilead Sciences, Inc.$83
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: 2011-05-18

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
I20110518000020INurse PractitionerILTBD

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
Q3014Telehealth originating site facility fee19161$0
99214Established patient office or other outpatient visit, 30-39 minutes17257$0
99213Established patient office or other outpatient visit, 20-29 minutes3015$0
View full utilization report →

Insurance plans in this area (ZIP 65065)

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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: 3476459876View full group profile
NameSpecialtyState
-IL
Mental Health CounselorIL
Clinical Social WorkerIL
Nurse PractitionerIL
Clinical Social WorkerIL
Nurse PractitionerIL
Clinical Social WorkerIL
Clinical Social WorkerIL
P S Y C H I A T R YIL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

Is there an official ID for DEBBIE L KELLY (PMHNP-BC) in U.S. healthcare records?
The official identifier for DEBBIE L KELLY (PMHNP-BC) is NPI 1518256635.
Is there an active status for DEBBIE L KELLY (PMHNP-BC)?
For scheduling context, DEBBIE L KELLY (PMHNP-BC) is shown as active in the registry.
What kind of doctor is DEBBIE L KELLY (PMHNP-BC)?
DEBBIE L KELLY (PMHNP-BC) is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DEBBIE L KELLY (PMHNP-BC)?
Directory geography for DEBBIE L KELLY (PMHNP-BC) centers on Osage Beach, Missouri.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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