CARISSA M KELLY (CNP) – Adult Health Nurse Practitioner, NPI 1821307646
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,366 NURSE PRACTITIONER in OR
Provider Addresses for CARISSA M KELLY (CNP)
635 Main St Ste 206A
Klamath Falls, OR 976016007
Phone: (949) 484-9517
Fax: (949) 569-1295
Type: Location
701 N Green Valley Pkwy Ste 213
Henderson, NV 890746177
Phone: (949) 484-9517
Fax: (949) 569-1295
Type: Location
1980 E 116th St Ste 315
Carmel, IN 460323517
Phone: (949) 484-9517
Fax: (949) 569-1295
Type: Location
122 Delaware Street SteF-5
New Castle, DE 197204814
Phone: (949) 484-9517
Fax: (949) 569-1295
Type: Location
455 Toll Gate Rd
Warwick, RI 028862759
Phone: (401) 737-7010
Fax: (401) 736-4546
Type: Location
128 Chestnut St Ste 303A2
Philadelphia, PA 191063024
Phone: (949) 484-9517
Fax: (949) 569-1295
Type: Location
150 YORK ST
STOUGHTON, MA 020721829
Phone: (781) 297-1111
Type: Mailing
45 DAN RD
CANTON, MA 020212852
Phone: (914) 525-8692
Fax: (630) 376-7615
Type: Location
1094 Killingly Commons Dr
Dayville, CT 062412187
Phone: (727) 601-4513
Type: Location
22 FALES RD
SHARON, MA 020671086
Phone: (914) 525-8692
Fax: (630) 376-7615
Type: Mailing
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: 2026-02-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 30 Medicare enrollment records; no due dates published yet.
Enrollment records
30
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 |
|---|---|---|---|---|
| I20101117001009 | I | Nurse Practitioner | MA | TBD |
| I20210520001931 | I | Nurse Practitioner | RI | TBD |
| I20220120002421 | I | Nurse Practitioner | NH | TBD |
| I20221027002448 | I | Nurse Practitioner | OR | TBD |
| I20230209000946 | I | Nurse Practitioner | ME | TBD |
| I20230215002097 | I | Nurse Practitioner | NY | TBD |
| I20230216002526 | I | Nurse Practitioner | PA | TBD |
| I20230220001663 | I | Nurse Practitioner | CT | TBD |
| I20230517002223 | I | Nurse Practitioner | IN | TBD |
| I20230518002183 | I | Nurse Practitioner | FL | TBD |
| I20230523000518 | I | Nurse Practitioner | OH | TBD |
| I20230706000588 | I | Nurse Practitioner | MD | TBD |
| I20230825000804 | I | Nurse Practitioner | DC | TBD |
| I20230825003367 | I | Nurse Practitioner | VA | TBD |
| I20230825003431 | I | Nurse Practitioner | WV | TBD |
| I20240307003505 | I | Nurse Practitioner | DE | TBD |
| I20240603004032 | I | Nurse Practitioner | MO | TBD |
| I20240710001702 | I | Nurse Practitioner | VT | TBD |
| I20250321003108 | I | Nurse Practitioner | TN | TBD |
| I20250326004151 | I | Nurse Practitioner | NM | TBD |
| I20250328002876 | I | Nurse Practitioner | KY | TBD |
| I20250402001925 | I | Nurse Practitioner | WA | TBD |
| I20250519001325 | I | Nurse Practitioner | NV | TBD |
| I20250520000135 | I | Nurse Practitioner | AZ | TBD |
| I20250625001874 | I | Nurse Practitioner | ID | TBD |
| I20251009004188 | I | Nurse Practitioner | SC | TBD |
| I20251106005166 | I | Nurse Practitioner | MN | TBD |
| I20251201002078 | I | Nurse Practitioner | IL | TBD |
| I20260116003129 | I | Nurse Practitioner | CA | TBD |
| I20260204000584 | I | Nurse Practitioner | WI | 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 |
|---|---|---|---|---|
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 400 | 395 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 396 | 395 | $0 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 334 | 53 | $0 |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 265 | 265 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 207 | 59 | $0 |
Insurance plans in this area (ZIP 97601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WV | |
| Physician Assistant | NC | |
| Nurse Practitioner | OH | |
| Critical Care (Intensivists), Pulmonary Disease, Internal Medicine | NY | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | PA | |
| Physician Assistant | TX | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | OH |
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