KELLY JEAN PERRY (PLMHP, PCMSW) – Clinical Social Worker, NPI 1639809239

KELLY JEAN PERRY (PLMHP, PCMSW) is a healthcare provider. based in York, Nebraska. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials PLMHP, PCMSW. The NPI Number for KELLY JEAN PERRY (PLMHP, PCMSW) is 1639809239

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KELLY JEAN PERRY (PLMHP, PCMSW)
NPI
1639809239
Phone
Not provided
Address
23 ARBOR HTS
Enumeration Date
15 June 2022
Last Update Date
15 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4027593167
Graduation Year
2015 (11 years ago)
PAC ID
7214399724
Group Practice PAC ID
9638144942
Professional Enrollment ID
I20230816000435
Address ID
NE683612229GE1900XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:3State licenses:0Digital endpointsOther names

314 CLINICAL SOCIAL WORKER in NE

Provider Addresses for KELLY JEAN PERRY (PLMHP, PCMSW)

  • 23 ARBOR HTS

    YORK, NE 684671919

    Phone:

    Type: Mailing

  • 1900 F ST

    GENEVA, NE 683612229

    Phone: (402) 759-3192

    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: 2023-08-16

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
I20230816000435IClinical Social WorkerNETBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68467)

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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: 9638144942View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)NE
Physician AssistantNE
Physician AssistantNE
Certified Registered Nurse Anesthetist (Crna)NE
-NE
Orthopedic SurgeryGA
Nurse PractitionerNE
Interventional Radiology, Diagnostic RadiologyNE
-NE
Physician AssistantNE

Reviews

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Frequently asked questions

How do I look up KELLY JEAN PERRY (PLMHP, PCMSW) by NPI?
Use NPI 1639809239 when you need to reference KELLY JEAN PERRY (PLMHP, PCMSW) in forms, claims, or directories.
Does this profile mean KELLY JEAN PERRY (PLMHP, PCMSW) is currently active?
Yes — KELLY JEAN PERRY (PLMHP, PCMSW) appears active in the national provider directory.
Does KELLY JEAN PERRY (PLMHP, PCMSW) list a primary specialty?
If you are matching referrals, note Clinical Social Worker for KELLY JEAN PERRY (PLMHP, PCMSW). Clinical services aligned with this taxonomy classification.
Where is KELLY JEAN PERRY (PLMHP, PCMSW)'s primary listing?
We display York, Nebraska because that is what the record indicates for KELLY JEAN PERRY (PLMHP, PCMSW).
Is KELLY JEAN PERRY (PLMHP, PCMSW) a real provider?
This page reflects official NPPES data for NPI 1639809239. Always confirm identity and privileges with the practice and licensing boards.

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