KELLIE BIDDLE (CRNP) – Family Medicine Physician, NPI 1174377337

KELLIE BIDDLE (CRNP) is a healthcare provider. based in Washington, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. SP029543 (PA). The NPI Number for KELLIE BIDDLE (CRNP) is 1174377337

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KELLIE BIDDLE (CRNP)
NPI
1174377337
Phone
(724) 223-3100
Address
95 LEONARD AVE BLDG 22ND
Enumeration Date
15 April 2024
Last Update Date
15 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7248747414
Graduation Year
2023 (3 years ago)
PAC ID
6709226806
Group Practice PAC ID
0446159313
Professional Enrollment ID
I20240506001535
Address ID
PA153211403CE3415XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for KELLIE BIDDLE (CRNP)

  • 95 LEONARD AVE BLDG 22ND

    WASHINGTON, PA 153013368

    Phone: (724) 223-3100

    Mailing address matches the actual address.

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: 2024-05-06

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
I20240506001535INurse PractitionerPATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 15301)

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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: 0446159313View full group profile
NameSpecialtyState
Family PracticePA
Family Practice, Osteopathic Manipulative MedicinePA
Family PracticePA
Nurse PractitionerPA
-PA
Family Practice, Sports MedicineKY
Family PracticePA
Family PracticePA
Nurse PractitionerPA
Family PracticePA

Reviews

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Frequently asked questions

What NPI should I save for KELLIE BIDDLE (CRNP)?
Save NPI 1174377337 if you need a stable reference for KELLIE BIDDLE (CRNP).
Does this profile mean KELLIE BIDDLE (CRNP) is currently active?
Yes — KELLIE BIDDLE (CRNP) appears active in the national provider directory.
What kind of provider is KELLIE BIDDLE (CRNP)?
The page reflects Family Medicine Physician for KELLIE BIDDLE (CRNP). Clinical services aligned with this taxonomy classification.
Where does public data place KELLIE BIDDLE (CRNP)?
The snapshot lists Washington, Pennsylvania for KELLIE BIDDLE (CRNP); download NPPES for the complete set.
What if Washington, Pennsylvania seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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