GINA KELLEY (CRNP) – Family Nurse Practitioner, NPI 1669801536
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for GINA KELLEY (CRNP)
16761 Saint Clair Ave # 2
East Liverpool, OH 439209400
Phone: (330) 932-3301
Fax: (330) 368-0957
Type: Location
425 W 5th St
East Liverpool, OH 439202405
Phone: (330) 386-5279
Fax: (330) 386-5866
Type: Location
123 W 6th St
East Liverpool, OH 439202921
Phone: (330) 385-7170
Fax: (330) 385-6359
Type: Location
PO BOX 14397
POLAND, OH 445147397
Phone: (330) 758-2775
Fax: (330) 758-2787
Type: Mailing
15424 SPRUCEVALE RD
EAST LIVERPOOL, OH 439209200
Phone: (330) 382-0388
Fax: (330) 382-0389
Type: Location
PO BOX 645409
PITTSBURGH, PA 152645252
Phone: (330) 386-6442
Fax: (330) 386-3660
Type: Mailing
15655 STATE ROUTE 170 STE H
EAST LIVERPOOL, OH 439209672
Phone: (330) 932-0183
Fax: (330) 932-0240
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: 2014-01-09
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 |
|---|---|---|---|---|
| I20140109001030 | I | Nurse Practitioner | OH | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43920)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | OH | 81002 | Urinalysis, manual test | 31 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| - | OH | |
| Clinical Social Worker | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH | |
| Nurse Practitioner | WV |
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