DIANA L KELLY (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1164193868

DIANA L KELLY (PMHNP-BC) is a healthcare provider. based in San angelo, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 1033066 (TX). The NPI Number for DIANA L KELLY (PMHNP-BC) is 1164193868

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
DIANA L KELLY (PMHNP-BC)
NPI
1164193868
Phone
(325) 949-5722
Address
1636 HUNTERS GLEN RD
Enumeration Date
22 September 2021
Last Update Date
22 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9406652826
Graduation Year
2020 (6 years ago)
PAC ID
7012395379
Group Practice PAC ID
2466625371
Professional Enrollment ID
I20220528000006
Address ID
TX762403604GA1900XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for DIANA L KELLY (PMHNP-BC)

  • 1636 HUNTERS GLEN RD

    SAN ANGELO, TX 769015016

    Phone: (325) 949-5722

    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)

CMS reports 3 Open Payments records for all available years, with a total value of $66.

Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.

Last reported payment date: 2023-01-26 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($26).

Total Amount

$66

General + Research + Ownership

Payments

3

Total payment records

General Amount

$66

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-26

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: 2022-05-28

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
I20220528000006INurse 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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes2,716213$0
99347Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes31237$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes176112$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes127124$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes7462$0
View full utilization report →

Insurance plans in this area (ZIP 76901)

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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: 2466625371View full group profile
NameSpecialtyState
Nurse PractitionerCA
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What number should I use to identify DIANA L KELLY (PMHNP-BC) for billing?
Administrative and clinical systems typically use NPI 1164193868 for DIANA L KELLY (PMHNP-BC).
Should I treat DIANA L KELLY (PMHNP-BC) as an active provider?
Patients and plans typically see DIANA L KELLY (PMHNP-BC) as active in the national extract.
What services align with DIANA L KELLY (PMHNP-BC)'s listing?
DIANA L KELLY (PMHNP-BC)'s public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to DIANA L KELLY (PMHNP-BC)?
DIANA L KELLY (PMHNP-BC) shows a connection to San Angelo, Texas in registry-derived data.
Who maintains DIANA L KELLY (PMHNP-BC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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