STACEY RACHELLE KELLY (FNP) – Family Nurse Practitioner, NPI 1205478021
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for STACEY RACHELLE KELLY (FNP)
602 Indiana Ave
Lubbock, TX 794153364
Phone: (806) 775-9700
Type: Location
2215, Nashville Avenue, Maedgen, Lubbock, Lubbock County, Texas, 79410, United States
LUBBOCK, TX 794101106
Phone: (806) 725-5844
Type: Mailing
21st Street, Lubbock, Lubbock County, Texas, United States
LUBBOCK, TX 794101105
Phone: (806) 725-4800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $1,339.
Total Amount is formed as General ($1,339) + Research ($0) + Ownership ($0) = $1,339.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: ARGENX US, INC. ($195).
Total Amount
$1,339
General + Research + Ownership
Payments
23
Total payment records
General Amount
$1,339
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ARGENX US, INC. | $195 |
| AstraZeneca Pharmaceuticals LP | $124 |
| Lundbeck LLC | $123 |
| Amgen Inc. | $108 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $103 |
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: 2019-12-20
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 |
|---|---|---|---|---|
| I20191220001616 | I | Nurse Practitioner | TX | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1439 | Injection, ferric carboxymaltose, 1 mg | 27,000 | 18 | $0 |
| J0897 | Injection, denosumab, 1 mg | 2,100 | 25 | $0 |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 135 | 31 | $0 |
| 96401 | Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle | 76 | 30 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 55 | 14 | $0 |
Insurance plans in this area (ZIP 79415)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| Pediatric Medicine | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| Emergency Medicine | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Emergency Medicine | TX | |
| Emergency Medicine | TX | |
| Nurse Practitioner | TX |
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