KELLIE KING (APRN) – Adult Health Nurse Practitioner, NPI 1740890201

KELLIE KING (APRN) is a healthcare provider. based in Rocky river, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 2019081900 (OH). The NPI Number for KELLIE KING (APRN) is 1740890201

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KELLIE KING (APRN)
NPI
1740890201
Phone
(440) 785-4769
Address
2532 HAMPTON RD
Enumeration Date
8 August 2020
Last Update Date
8 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4408166051
Graduation Year
2020 (6 years ago)
PAC ID
1850708249
Group Practice PAC ID
8527964550
Professional Enrollment ID
I20210331002337
Address ID
OH441303417CL18697RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for KELLIE KING (APRN)

  • 2532 HAMPTON RD

    ROCKY RIVER, OH 441162545

    Phone: (440) 785-4769

    Type: Mailing

  • 7575 NORTHCLIFF AVE

    BROOKLYN, OH 441443267

    Phone: (440) 785-4769

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $122.

Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($32).

Total Amount

$122

General + Research + Ownership

Payments

7

Total payment records

General Amount

$122

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

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: 2021-03-31

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
I20210331002337INurse PractitionerOHTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3636$0
99204New patient office or other outpatient visit, 45-59 minutes3535$0
99214Established patient office or other outpatient visit, 30-39 minutes2018$0
View full utilization report →

Insurance plans in this area (ZIP 44116)

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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: 8527964550View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineOH
Nurse PractitionerOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Nurse PractitionerOH
Certified Registered Nurse Anesthetist (Crna)OH
Anesthesiology AssistantCO
-OH
Anesthesiology AssistantOH
-OH
-OH

Reviews

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Frequently asked questions

Can I verify KELLIE KING (APRN) with an NPI only?
You can start verification with NPI 1740890201 for KELLIE KING (APRN), then check state licensing separately.
Can I rely on KELLIE KING (APRN) being an active provider?
As of the registry snapshot, KELLIE KING (APRN) is marked active.
What is KELLIE KING (APRN)'s specialty?
The listing groups KELLIE KING (APRN) with Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for KELLIE KING (APRN)?
KELLIE KING (APRN)'s geographic hint is Rocky River, Ohio in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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