KELLY MISSION (CRNP) – Nurse Practitioner, NPI 1144551276
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,469 NURSE PRACTITIONER in PA
Provider Addresses for KELLY MISSION (CRNP)
111 S 11th St
Philadelphia, PA 191074824
Phone: (609) 553-9490
Type: Location
200, Federal Street, Cooper-Grant, Camden, Camden County, New Jersey, 08103, United States
CAMDEN, NJ 081031088
Phone: (856) 356-4924
Type: Mailing
1 Cooper Plaza, Haddon Avenue, Lanning Square, Camden, Camden County, New Jersey, 08103, United States
CAMDEN, NJ 08103
Phone: (856) 342-2351
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $233.
Total Amount is formed as General ($233) + Research ($0) + Ownership ($0) = $233.
Last reported payment date: 2024-05-02 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($233).
Total Amount
$233
General + Research + Ownership
Payments
2
Total payment records
General Amount
$233
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $233 |
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: 2019-04-26
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 |
|---|---|---|---|---|
| I20190426000225 | I | Nurse Practitioner | NJ | 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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 1,101 | 181 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 520 | 153 | $0 |
| 99316 | Nursing facility discharge management, more than 30 minutes | 117 | 111 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 107 | 39 | $0 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 27 | 15 | $0 |
Insurance plans in this area (ZIP 19107)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ | |
| Internal Medicine | NJ | |
| Physician Assistant | NJ | |
| Internal Medicine | NJ | |
| - | NJ | |
| Internal Medicine, Pulmonary Disease | NJ | |
| Geriatric Medicine | NJ | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ |
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