MS. KELLY LYNN THELEN (APRN) – Nurse Practitioner, NPI 1619071206

MS. KELLY LYNN THELEN (APRN) is a healthcare provider. based in Lincoln, Nebraska. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 110335 (NE). The NPI Number for MS. KELLY LYNN THELEN (APRN) is 1619071206

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MS. KELLY LYNN THELEN (APRN)
NPI
1619071206
Phone
(402) 483-0431
Address
5930 S 58TH ST
Enumeration Date
12 September 2006
Last Update Date
9 March 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4029338201
Graduation Year
1999 (27 years ago)
PAC ID
4688707656
Group Practice PAC ID
4789810508
Professional Enrollment ID
I20100728000928
Address ID
NE681444811OM2717XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,112 NURSE PRACTITIONER in NE

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Provider Addresses for MS. KELLY LYNN THELEN (APRN)

  • 5930, South 58th Street, Lincoln, Lancaster County, Nebraska, 68516, United States

    SUITE A

    LINCOLN, NE 685166402

    Phone: (402) 483-0431

    Fax: (402) 483-9905

    Type: Mailing

  • Village Drive, Williamsburg Village North 34th Addition, Williamsburg Village, Lincoln, Lancaster County, Nebraska, 68516, United States

    SUITE 100

    LINCOLN, NE 685164706

    Phone: (402) 420-7113

    Fax: (402) 328-8314

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $911.

Total Amount is formed as General ($911) + Research ($0) + Ownership ($0) = $911.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: AIMMUNE THERAPEUTICS, INC. ($707).

Total Amount

$911

General + Research + Ownership

Payments

13

Total payment records

General Amount

$911

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2010-07-28

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
I20100728000928INurse PractitionerNETBD

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
99214Established patient office or other outpatient visit, 30-39 minutes7256$0
99204New patient office or other outpatient visit, 45-59 minutes6868$0
99203New patient office or other outpatient visit, 30-44 minutes6060$0
99213Established patient office or other outpatient visit, 20-29 minutes2422$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza2322$0
View full utilization report →

Insurance plans in this area (ZIP 68516)

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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: 4789810508View full group profile
NameSpecialtyState
Physician AssistantNE
Physician AssistantNE
Nurse PractitionerNE
Nurse PractitionerNE
Nurse PractitionerNE
Nurse PractitionerNE
Nurse PractitionerNE
Nurse PractitionerNE
Physician AssistantNE
-NE

Reviews

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Frequently asked questions

What unique ID ties claims to MS. KELLY LYNN THELEN (APRN)?
NPI 1619071206 is assigned to MS. KELLY LYNN THELEN (APRN) under the national enumeration system.
Is MS. KELLY LYNN THELEN (APRN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MS. KELLY LYNN THELEN (APRN) work in?
You can think of MS. KELLY LYNN THELEN (APRN) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MS. KELLY LYNN THELEN (APRN) practice in Nebraska?
You will see Lincoln, Nebraska on file for MS. KELLY LYNN THELEN (APRN) alongside any extra practice locations.
What if Lincoln, Nebraska seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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