KELLY JO COON (M.D.) – Hospitalist Physician, NPI 1003864703

KELLY JO COON (M.D.) is a healthcare provider. based in Scottsbluff, Nebraska. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 28489 (NE). The NPI Number for KELLY JO COON (M.D.) is 1003864703

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
KELLY JO COON (M.D.)
NPI
1003864703
Phone
(308) 630-2920
Address
3911 AVENUE B
Enumeration Date
4 May 2006
Last Update Date
12 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9184886000
Graduation Year
2002 (24 years ago)
PAC ID
0446262836
Group Practice PAC ID
8820900293
Professional Enrollment ID
I20060703000114
Address ID
OK741363331TU6600XAVEX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

753 INTERNAL MEDICINE in NE

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Provider Addresses for KELLY JO COON (M.D.)

  • 3911, Avenue B, Scottsbluff, Scotts Bluff County, Nebraska, 69361, United States

    SUITE 2100

    SCOTTSBLUFF, NE 693614617

    Phone: (308) 630-2920

    Type: Mailing

  • Regional West Medical Center, 4021, Avenue B, Scottsbluff, Scotts Bluff County, Nebraska, 69361, United States

    SCOTTSBLUFF, NE 693614602

    Phone: (308) 630-2920

    Type: Location

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: 2006-07-03

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
I20060703000114IInternal MedicineOKTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes464166$0
99239Hospital discharge day management, more than 30 minutes111107$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7371$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1612$0
99238Hospital discharge day management, 30 minutes or less1313$0
View full utilization report →

Insurance plans in this area (ZIP 69361)

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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: 8820900293View full group profile

Reviews

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Frequently asked questions

What is the standard ID for KELLY JO COON (M.D.) in the U.S.?
In the U.S., KELLY JO COON (M.D.) is identified by NPI 1003864703.
Should I treat KELLY JO COON (M.D.) as an active provider?
Patients and plans typically see KELLY JO COON (M.D.) as active in the national extract.
What does the directory say KELLY JO COON (M.D.) does?
Insurance directories may phrase it differently, but here KELLY JO COON (M.D.) maps to Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Can patients visit KELLY JO COON (M.D.) in Scottsbluff, Nebraska?
For routing, start with Scottsbluff, Nebraska for KELLY JO COON (M.D.), then verify phone and hours locally.
Why is information missing for KELLY JO COON (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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