MRS. KELLY M ROBERTS (FNP-C) – Family Nurse Practitioner, NPI 1568912129
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
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Provider Addresses for MRS. KELLY M ROBERTS (FNP-C)
555, West Pine Street, Farmington, St. Francois County, Missouri, 63640, United States
FARMINGTON, MO 63640
Phone: (573) 747-1510
Fax: (573) 747-1512
Type: Location
12700 SOUTHFORK RD
SAINT LOUIS, MO 631283206
Phone: (314) 525-1798
Fax: (314) 525-4469
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 94 Open Payments records for all available years, with a total value of $7,753.
Total Amount is formed as General ($7,753) + Research ($0) + Ownership ($0) = $7,753.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Reprise Biomedical, Inc. ($3,867).
Total Amount
$7,753
General + Research + Ownership
Payments
94
Total payment records
General Amount
$7,753
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 |
|---|---|
| Reprise Biomedical, Inc. | $3,867 |
| ETS Wound Care LLC | $1,854 |
| Smith+Nephew, Inc. | $712 |
| Organogenesis Inc. | $194 |
| Nuo Therapeutics | $166 |
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: 2017-03-01
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 |
|---|---|---|---|---|
| I20170301000884 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 232 | 61 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 218 | 80 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 134 | 54 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 130 | 49 | $0 |
| 15271 | Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | 62 | 20 | $0 |
Insurance plans in this area (ZIP 63640)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | MO | |
| General Surgery, Critical Care (Intensivists) | MO | |
| Family Practice | MO | |
| General Surgery | MO | |
| Nurse Practitioner | MO | |
| Plastic And Reconstructive Surgery, Hand Surgery | MO | |
| General Surgery, Vascular Surgery | MO | |
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO |
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