KELLI OVERWAY (APRN, FNP-BC) – Nurse Practitioner, NPI 1013510700

KELLI OVERWAY (APRN, FNP-BC) is a healthcare provider. based in Grand prairie, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-BC. They hold a License No. 1012260 (TX). The NPI Number for KELLI OVERWAY (APRN, FNP-BC) is 1013510700

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
KELLI OVERWAY (APRN, FNP-BC)
NPI
1013510700
Phone
(616) 566-6062
Address
7112 PLAYA NORTE DR
Enumeration Date
17 November 2020
Last Update Date
12 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9894885850
Graduation Year
2020 (6 years ago)
PAC ID
6507279551
Group Practice PAC ID
2264323633
Professional Enrollment ID
I20230712003962
Address ID
MI486402761MI301XXSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for KELLI OVERWAY (APRN, FNP-BC)

  • 7112 PLAYA NORTE DR

    GRAND PRAIRIE, TX 750540228

    Phone: (616) 566-6062

    Type: Mailing

  • 4000 WELLNESS DR

    MIDLAND, MI 486702000

    Phone: (989) 839-3000

    Type: Mailing

  • 301 W WACKERLY ST

    MIDLAND, MI 486402761

    Phone: (989) 488-5850

    Type: Location

  • 2000 COOPER ST

    FORT WORTH, TX 761042528

    Phone: (817) 820-2890

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 83 Open Payments records for all available years, with a total value of $2,582.

Total Amount is formed as General ($2,582) + Research ($0) + Ownership ($0) = $2,582.

Last reported payment date: 2024-10-19 • Largest payer in this snapshot: Medtronic, Inc. ($1,214).

Total Amount

$2,582

General + Research + Ownership

Payments

83

Total payment records

General Amount

$2,582

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-07-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210112000544INurse PractitionerTXTBD
I20230712003962INurse PractitionerMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0897Injection, denosumab, 1 mg66011$0
99214Established patient office or other outpatient visit, 30-39 minutes361266$0
83036Hemoglobin a1c level201162$0
95251Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report162126$0
99213Established patient office or other outpatient visit, 20-29 minutes2928$0
View full utilization report →

Insurance plans in this area (ZIP 75054)

Loading plans...

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: 2264323633View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)MI
Physician AssistantMI
Cardiovascular Disease (Cardiology), Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
Pulmonary Disease, Critical Care (Intensivists)MI
Physician AssistantMI
-MI
-MI
-MI
Certified Registered Nurse Anesthetist (Crna)LA
Nurse PractitionerMI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for KELLI OVERWAY (APRN, FNP-BC)?
Save NPI 1013510700 if you need a stable reference for KELLI OVERWAY (APRN, FNP-BC).
Is KELLI OVERWAY (APRN, FNP-BC) currently active in the NPI registry?
CMS-published data lists KELLI OVERWAY (APRN, FNP-BC) as an active registrant.
What kind of provider is KELLI OVERWAY (APRN, FNP-BC)?
The page reflects Nurse Practitioner for KELLI OVERWAY (APRN, FNP-BC). Clinical services aligned with this taxonomy classification.
Where does public data place KELLI OVERWAY (APRN, FNP-BC)?
The snapshot lists Grand Prairie, Texas for KELLI OVERWAY (APRN, FNP-BC); download NPPES for the complete set.
Is KELLI OVERWAY (APRN, FNP-BC) a real provider?
This page reflects official NPPES data for NPI 1013510700. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

729 W Bedford Euless Rd Ste 204
NPI: 1801889894

MR. SEAN HENRI NEUFELDT (MSN, FNP)

Family Nurse Practitioner
2740 N HWY 360
NPI: 1396798393

MRS. SUSAN RENEE CARLSON (MSN, ANP)

Adult Health Nurse Practitioner
2740 N HWY 360
NPI: 1043266711

Medical Housecalls

Nurse Practitioner
2080, North State Highway 360, Grand Prairie, Tarrant County, Texas, 75050, United States
NPI: 1013964675
Ice Box Canyon, Mesquite, Clark County, Nevada, 89034, United States
NPI: 1891718771

MARY MICHELLE WILL (NP)

Nurse Practitioner
1811, Highway 287 North, Mansfield, Tarrant County, Texas, 76063, United States
NPI: 1942210778

DENISE A PECK (ARNP)

Family Nurse Practitioner
4560 LAKE RIDGE PKWY STE 300
NPI: 1265500573
PO BOX 99082
NPI: 1497807713

SPLENDOR HILLS INCORPORATED

Multi-Specialty Clinic/Center
Oak Lane, Parc Oak Plaza, Grand Prairie, Dallas County, Texas, 75051, United States
NPI: 1225232671