KELLIE LYNN MYERS (APRN) – Gerontology Nurse Practitioner, NPI 1083215800

KELLIE LYNN MYERS (APRN) is a healthcare provider. based in Magnolia, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 1017779 (TX). The NPI Number for KELLIE LYNN MYERS (APRN) is 1083215800

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
KELLIE LYNN MYERS (APRN)
NPI
1083215800
Phone
(281) 914-2693
Address
26015 PENGUIN ST
Enumeration Date
6 November 2020
Last Update Date
30 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2818948822
Graduation Year
2020 (6 years ago)
PAC ID
4587071592
Group Practice PAC ID
5395658934
Professional Enrollment ID
I20210318000607
Address ID
TX770704535HO13215RDXX306
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for KELLIE LYNN MYERS (APRN)

  • 26015 PENGUIN ST

    MAGNOLIA, TX 773556249

    Phone: (281) 914-2693

    Type: Mailing

  • 129 Vision Park Blvd Ste 307

    Shenandoah, TX 773843024

    Phone: (936) 321-5440

    Fax: (936) 271-3707

    Type: Location

  • 21216 Northwest Fwy Ste 140

    Cypress, TX 774294695

    Phone: (832) 996-4040

    Fax: (832) 348-5348

    Type: Location

  • PO BOX 911230

    DALLAS, TX 753911230

    Phone: (972) 998-8000

    Fax: (972) 234-0813

    Type: Mailing

  • 13215 DOTSON RD STE 300

    HOUSTON, TX 770704535

    Phone: (281) 894-8822

    Fax: (281) 897-1215

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 268 Open Payments records for all available years, with a total value of $6,299.

Total Amount is formed as General ($6,299) + Research ($0) + Ownership ($0) = $6,299.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($495).

Total Amount

$6,299

General + Research + Ownership

Payments

268

Total payment records

General Amount

$6,299

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2021-03-18

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
I20210318000607INurse PractitionerTXTBD

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
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count323152$0
99214Established patient office or other outpatient visit, 30-39 minutes223150$0
36415Insertion of needle into vein for collection of blood sample19988$0
99215Established patient office or other outpatient visit, 40-54 minutes10885$0
99213Established patient office or other outpatient visit, 20-29 minutes5343$0
View full utilization report →

Insurance plans in this area (ZIP 77355)

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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: 5395658934View full group profile
NameSpecialtyState
Surgical OncologyTX
Medical Oncology, Internal MedicineTX
Certified Clinical Nurse Specialist (Cns)TX
Medical Oncology, Internal MedicineTX
Medical Oncology, Internal MedicineTX
Hematology/Oncology, Internal Medicine, Medical OncologyTX
Radiation OncologyTX
Nurse PractitionerTX
-TX
-TX

Reviews

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Frequently asked questions

How do payers reference KELLIE LYNN MYERS (APRN)?
For KELLIE LYNN MYERS (APRN), use NPI 1083215800 as the unique 10-digit identifier.
Is there an active status for KELLIE LYNN MYERS (APRN)?
For scheduling context, KELLIE LYNN MYERS (APRN) is shown as active in the registry.
What area of care is associated with KELLIE LYNN MYERS (APRN)?
KELLIE LYNN MYERS (APRN)'s record emphasizes Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KELLIE LYNN MYERS (APRN) located near Magnolia?
KELLIE LYNN MYERS (APRN) currently maps to Magnolia, Texas in this extract.
Does KELLIE LYNN MYERS (APRN) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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