KELLEY PRUIETT (CNP) – Nurse Practitioner, NPI 1649583139
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for KELLEY PRUIETT (CNP)
1601 BRIGHAM DR
SUITE 120
PERRYSBURG, OH 435517114
Phone: (419) 872-7703
Fax: (419) 872-1704
Type: Mailing
2109 HUGHES DR # 720
TOLEDO, OH 436063858
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 82 Open Payments records for all available years, with a total value of $1,959.
Total Amount is formed as General ($1,959) + Research ($0) + Ownership ($0) = $1,959.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($245).
Total Amount
$1,959
General + Research + Ownership
Payments
82
Total payment records
General Amount
$1,959
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $245 |
| SCPHARMACEUTICALS INC. | $229 |
| Alnylam Pharmaceuticals Inc. | $136 |
| HeartFlow, Inc. | $126 |
| Merck Sharp & Dohme LLC | $119 |
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: 2025-10-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20101006001189 | I | Nurse Practitioner | OH | TBD |
| I20251006002326 | I | Nurse Practitioner | MI | 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 | 298 | 240 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 154 | 132 | $0 |
| 93294 | Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days | 102 | 41 | $0 |
| 93295 | Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days | 88 | 35 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 66 | 63 | $0 |
Insurance plans in this area (ZIP 43551)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Nurse Practitioner | OH | |
| Cardiovascular Disease (Cardiology), Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Cardiac Electrophysiology | MI | |
| Nurse Practitioner | OH | |
| Cardiac Electrophysiology | IA | |
| - | OH | |
| - | MI | |
| Cardiovascular Disease (Cardiology) | OH | |
| Internal Medicine, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology) | OH | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | OH |
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