KELLY MARIE STEVENSON (PA-C) – Physician Assistant, NPI 1154634244
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,397 PHYSICIAN ASSISTANT in NE
Provider Addresses for KELLY MARIE STEVENSON (PA-C)
804 22ND AVE
KEARNEY, NE 688452206
Phone: (308) 455-3600
Fax: (308) 455-3950
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 37 Open Payments records for all available years, with a total value of $959.
Total Amount is formed as General ($959) + Research ($0) + Ownership ($0) = $959.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Medtronic, Inc. ($327).
Total Amount
$959
General + Research + Ownership
Payments
37
Total payment records
General Amount
$959
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
| Company | Amount |
|---|---|
| Medtronic, Inc. | $327 |
| Abbott Laboratories | $257 |
| Saluda Medical Americas, Inc. | $115 |
| SPR Therapeutics, Inc | $75 |
| Lundbeck LLC | $44 |
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: 2010-09-07
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 |
|---|---|---|---|---|
| I20100907000688 | I | Physician Assistant | NE | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 280 | 156 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 260 | 116 | $0 |
| 80305 | Testing for presence of drug, read by direct observation | 45 | 41 | $0 |
Insurance plans in this area (ZIP 68845)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Practice | NE |
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