KELLY IQBAL – Adult Health Nurse Practitioner, NPI 1700219862

KELLY IQBAL is a healthcare provider. based in Lake st louis, Missouri. specializing in NURSE PRACTITIONER. They hold a License No. 2007037227 (MO). The NPI Number for KELLY IQBAL is 1700219862

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
KELLY IQBAL
NPI
1700219862
Phone
(636) 669-8600
Address
400 Medical Plz Ste 100
Enumeration Date
13 August 2013
Last Update Date
6 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3142056444
Graduation Year
2012 (14 years ago)
PAC ID
9234363839
Group Practice PAC ID
5496788911
Professional Enrollment ID
I20131015001197
Address ID
MO630173663CH226XXRDXX507
Telehealth
Yes
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for KELLY IQBAL

  • 400 Medical Plz Ste 100

    Lake St Louis, MO 633671493

    Phone: (636) 669-8600

    Type: Location

  • 2632 CRIPPLE CREEK DR

    SAINT LOUIS, MO 631294915

    Phone: (314) 825-2442

    Fax: (314) 846-0573

    Type: Mailing

  • 226 S WOODS MILL RD

    43 WEST

    CHESTERFIELD, MO 630173662

    Phone: (314) 205-6444

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 229 Open Payments records for all available years, with a total value of $4,008.

Total Amount is formed as General ($4,008) + Research ($0) + Ownership ($0) = $4,008.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Amgen Inc. ($454).

Total Amount

$4,008

General + Research + Ownership

Payments

229

Total payment records

General Amount

$4,008

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

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: 2013-10-15

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
I20131015001197INurse PractitionerMOTBD

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
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit343343$0
99214Established patient office or other outpatient visit, 30-39 minutes197180$0
99441Telephone medical discussion with physician, 5-10 minutes107101$0
99213Established patient office or other outpatient visit, 20-29 minutes9890$0
99442Telephone medical discussion with physician, 11-20 minutes3837$0
View full utilization report →

Insurance plans in this area (ZIP 63367)

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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: 5496788911View full group profile
NameSpecialtyState
Nurse PractitionerMO
Internal MedicineMO
Rheumatology, Internal MedicineMO
Internal MedicineMO
Rheumatology, Internal MedicineMO
Nurse PractitionerMO
Internal MedicineMO

Reviews

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Frequently asked questions

What is the standard ID for KELLY IQBAL in the U.S.?
In the U.S., KELLY IQBAL is identified by NPI 1700219862.
Is KELLY IQBAL's NPI status active today?
Active status means KELLY IQBAL's NPI record is not deactivated in the public file.
What services align with KELLY IQBAL's listing?
KELLY IQBAL's public classification highlights Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to KELLY IQBAL?
KELLY IQBAL shows a connection to Lake St Louis, Missouri in registry-derived data.
Who maintains KELLY IQBAL's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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