KELLY J BRAWLEY (P.A.) – Medical Physician Assistant, NPI 1154396745

KELLY J BRAWLEY (P.A.) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in Medical Physician Assistant. They hold the professional credentials P.A.. They hold a License No. 085-001816 (IL). The NPI Number for KELLY J BRAWLEY (P.A.) is 1154396745

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
KELLY J BRAWLEY (P.A.)
NPI
1154396745
Phone
(847) 382-6579
Address
PO BOX 94670
Enumeration Date
17 February 2006
Last Update Date
17 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8473826579
Graduation Year
2002 (24 years ago)
PAC ID
4284956418
Group Practice PAC ID
6204926975
Professional Enrollment ID
I20141125001379
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for KELLY J BRAWLEY (P.A.)

  • PO BOX 94670

    OKLAHOMA CITY, OK 731434670

    Phone: (847) 382-6579

    Fax: (847) 382-7194

    Type: Mailing

  • 120, North Northwest Highway, Barrington, Barrington Township, Cook County, Illinois, 60010, United States

    BARRINGTON, IL 600103347

    Phone: (847) 382-6579

    Fax: (847) 382-7194

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 309 Open Payments records for all available years, with a total value of $5,858.

Total Amount is formed as General ($5,858) + Research ($0) + Ownership ($0) = $5,858.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($885).

Total Amount

$5,858

General + Research + Ownership

Payments

309

Total payment records

General Amount

$5,858

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2014-11-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (922 days ago).

Enrollment records

1

Earliest due date

2023-11-30

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
I20141125001379IPhysician AssistantIL2023-11-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
36415Insertion of needle into vein for collection of blood sample430194$0
99214Established patient office or other outpatient visit, 30-39 minutes390184$0
99213Established patient office or other outpatient visit, 20-29 minutes287175$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8282$0
G0008Administration of influenza virus vaccine7676$0
View full utilization report →

Insurance plans in this area (ZIP 73143)

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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: 6204926975View full group profile
NameSpecialtyState
Family PracticeIL

Reviews

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Frequently asked questions

Does KELLY J BRAWLEY (P.A.) have a public NPI I can cite?
Public records show KELLY J BRAWLEY (P.A.) under NPI 1154396745.
Quick check: is KELLY J BRAWLEY (P.A.) active?
Public NPPES data shows KELLY J BRAWLEY (P.A.) with an active NPI status right now.
What services align with KELLY J BRAWLEY (P.A.)'s listing?
KELLY J BRAWLEY (P.A.)'s public classification highlights Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KELLY J BRAWLEY (P.A.)?
KELLY J BRAWLEY (P.A.) is associated with Oklahoma City, Oklahoma in the same public data insurers reference.
Who maintains KELLY J BRAWLEY (P.A.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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