KELLY S. CARR (CRNP) – Family Nurse Practitioner, NPI 1154344257
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,473 NURSE PRACTITIONER in PA
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Provider Addresses for KELLY S. CARR (CRNP)
40 W WELLSBORO ST
MANSFIELD, PA 169331411
Phone: (570) 662-1945
Type: Mailing
22, Walnut Street, Wellsboro, Tioga County, Pennsylvania, 16901, United States
WELLSBORO, PA 169011526
Phone: (570) 723-0500
Type: Mailing
Lawrence Road, Lewisville, Lawrence Township, Mercer County, New Jersey, 08648, United States
LAWRENCEVILLE LAUREL HEALTH CENTER
LAWRENCEVILLE, PA 169298801
Phone: (570) 827-0128
Fax: (570) 827-0129
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $199.
Total Amount is formed as General ($199) + Research ($0) + Ownership ($0) = $199.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Novo Nordisk Inc ($69).
Total Amount
$199
General + Research + Ownership
Payments
12
Total payment records
General Amount
$199
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $69 |
| AstraZeneca Pharmaceuticals LP | $50 |
| Lilly USA, LLC | $47 |
| PFIZER INC. | $18 |
| Amgen Inc. | $16 |
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: 2006-11-10
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 |
|---|---|---|---|---|
| I20061110000196 | I | Nurse Practitioner | PA | 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 16933)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | PA | 83036 | Hemoglobin A1C level | 70 | 36 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery, Critical Care (Intensivists) | PA | |
| - | PA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| - | ME | |
| Pulmonary Disease, Critical Care (Intensivists) | PA | |
| - | PA | |
| Vascular Surgery | NY | |
| Cardiovascular Disease (Cardiology) | NM | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Emergency Medicine | PA |
Reviews
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