KAITLIN KELLEY (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1508503012
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,473 NURSE PRACTITIONER in RI
Provider Addresses for KAITLIN KELLEY (PMHNP)
14 WOODLAND AVE
SMITHFIELD, RI 029174116
Phone: (401) 855-5923
Type: Mailing
382 THAYER ST
PROVIDENCE, RI 029061558
Phone: (401) 855-5923
Type: Location
105 WASHINGTON ST APT 403
BRIGHTON, MA 021354377
Phone: (401) 855-5923
Type: Mailing
845 N MAIN ST
PROVIDENCE, RI 029045700
Phone: (401) 648-7172
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $395.
Total Amount is formed as General ($395) + Research ($0) + Ownership ($0) = $395.
Last reported payment date: 2024-09-26 • Largest payer in this snapshot: ABBVIE INC. ($265).
Total Amount
$395
General + Research + Ownership
Payments
9
Total payment records
General Amount
$395
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $265 |
| ITI, Inc. | $106 |
| Supernus Pharmaceuticals, Inc. | $24 |
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: 2025-04-29
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 |
|---|---|---|---|---|
| I20250429002277 | I | Nurse Practitioner | RI | 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 02917)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | NY | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | RI | |
| Clinical Social Worker | RI | |
| Clinical Psychologist | MD | |
| Nurse Practitioner | MA |
Reviews
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