MRS. KELSEY MARIE KELLY (PA-C) – Physician Assistant, NPI 1083135610
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for MRS. KELSEY MARIE KELLY (PA-C)
PO BOX 631767
CINCINNATI, OH 452631767
Phone: (812) 450-6815
Fax: (812) 450-6822
Type: Mailing
115 S MAIN ST
FERDINAND, IN 475329534
Phone: (812) 367-1906
Type: Location
599, Dalsvegen, Flekke, Dale, Fjaler, Vestland, 6963, Norway
DALE, IN 475230599
Phone: (812) 937-7140
Type: Mailing
4, West Vine Street, Dale, Spencer County, Indiana, 47523, United States
DALE, IN 475239061
Phone: (812) 937-7140
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $337.
Total Amount is formed as General ($337) + Research ($0) + Ownership ($0) = $337.
Last reported payment date: 2024-11-27 • Largest payer in this snapshot: Lilly USA, LLC ($98).
Total Amount
$337
General + Research + Ownership
Payments
20
Total payment records
General Amount
$337
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $98 |
| Abbott Laboratories | $55 |
| GlaxoSmithKline, LLC. | $47 |
| ABBVIE INC. | $31 |
| Novartis Pharmaceuticals Corporation | $28 |
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: 2017-09-15
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 |
|---|---|---|---|---|
| I20170915001719 | I | Physician Assistant | IN | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 139 | 98 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 89 | 53 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 39 | 39 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 25 | 24 | $0 |
| 81003 | Automated urinalysis test | 22 | 12 | $0 |
Insurance plans in this area (ZIP 45263)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IN | |
| Family Practice | MI | |
| Family Practice | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| - | TN | |
| Nurse Practitioner | IN | |
| - | KY | |
| Internal Medicine, Geriatric Medicine | IN | |
| Nurse Practitioner | ME |
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