KELLY LYNN DILLARD (NP) – Family Nurse Practitioner, NPI 1730631029
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,023 NURSE PRACTITIONER in MO
Provider Addresses for KELLY LYNN DILLARD (NP)
555 WASHINGTON SQUARE SHOPPING CTR
WASHINGTON, MO 630905343
Phone: (636) 390-1777
Fax: (636) 390-1778
Type: Location
1925 Burnett Ave
Saint Louis, MO 631252330
Phone: (314) 601-3857
Type: Location
6420 Clayton Rd
Richmond Heights, MO 631171811
Phone: (314) 768-8000
Fax: (314) 768-8011
Type: Location
Corporate Boulevard, Lafayette, Lafayette Parish, Louisiana, 70502, United States
LAFAYETTE, LA 705083870
Phone: (800) 893-9698
Type: Mailing
SSM Health St. Mary's Hospital: Hospital Building, 6420, Clayton Road, Hi-Pointe, Richmond Heights, Saint Louis County, Missouri, 63117, United States
RICHMOND HEIGHTS, MO 631171811
Phone: (314) 768-8000
Fax: (314) 768-8011
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $167.
Total Amount is formed as General ($167) + Research ($0) + Ownership ($0) = $167.
Last reported payment date: 2024-08-06 • Largest payer in this snapshot: IBSA Pharma Inc. ($167).
Total Amount
$167
General + Research + Ownership
Payments
9
Total payment records
General Amount
$167
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| IBSA Pharma Inc. | $167 |
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: 2017-01-13
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 |
|---|---|---|---|---|
| I20170113000453 | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 56 | 53 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 16 | 16 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 12 | 11 | $0 |
Insurance plans in this area (ZIP 63090)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | MO | |
| Emergency Medicine | MO | |
| Emergency Medicine | IL | |
| Physician Assistant | MO | |
| C H I R O P R A C T I C | MO | |
| Emergency Medicine, Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| Emergency Medicine | MO | |
| Family Practice | MO | |
| Nurse Practitioner | MO |
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