MRS. KELLY BROOKE PADGETT (AGNP-C) – Adult Medicine Physician, NPI 1689133456

MRS. KELLY BROOKE PADGETT (AGNP-C) is a healthcare provider. based in Deer park, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials AGNP-C. They hold a License No. AP141060 (TX). The NPI Number for MRS. KELLY BROOKE PADGETT (AGNP-C) is 1689133456

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KELLY BROOKE PADGETT (AGNP-C)
NPI
1689133456
Phone
(281) 799-8243
Address
2257 ROBINWOOD DR
Enumeration Date
19 March 2019
Last Update Date
9 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8325566936
Graduation Year
2018 (8 years ago)
PAC ID
5799027066
Group Practice PAC ID
4486711744
Professional Enrollment ID
I20190507002053
Address ID
TX775237506BA8608X600X501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

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Provider Addresses for MRS. KELLY BROOKE PADGETT (AGNP-C)

  • 2257, Robinwood Drive, Deer Park, Harris County, Texas, 77536, United States

    DEER PARK, TX 775362635

    Phone: (281) 799-8243

    Type: Mailing

  • 5030, Crenshaw Road, Pasadena, Harris County, Texas, 77505, United States

    PASADENA, TX 775053140

    Phone: (832) 448-6081

    Type: Location

  • 11527 KINGS POINT BLVD

    DAYTON, TX 775356527

    Phone: (281) 799-8243

    Type: Mailing

  • 8608 N HIGHWAY 146 STE 600

    BAYTOWN, TX 775237506

    Phone: (832) 556-6936

    Fax: (281) 428-7035

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 92 Open Payments records for all available years, with a total value of $1,801.

Total Amount is formed as General ($1,801) + Research ($0) + Ownership ($0) = $1,801.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Novo Nordisk Inc ($414).

Total Amount

$1,801

General + Research + Ownership

Payments

92

Total payment records

General Amount

$1,801

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

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: 2019-05-07

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
I20190507002053INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes6349$0
99214Established patient office or other outpatient visit, 30-39 minutes6244$0
90662Influenza vaccine split virus, preservative free1818$0
G0008Administration of influenza virus vaccine1717$0
96372Injection of drug or substance under skin or into muscle1111$0
View full utilization report →

Insurance plans in this area (ZIP 77536)

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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: 4486711744View full group profile
NameSpecialtyState
-TX
-TX
Nurse PractitionerTX
Physician AssistantTX
Thoracic Surgery, Vascular SurgeryTX
Medical Oncology, HematologyTX
Internal MedicineTX
General SurgeryNY
G A S T R O E N T E R O L O G YLA
Internal MedicineTX

Reviews

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Frequently asked questions

What is the standard ID for MRS. KELLY BROOKE PADGETT (AGNP-C) in the U.S.?
In the U.S., MRS. KELLY BROOKE PADGETT (AGNP-C) is identified by NPI 1689133456.
Should I treat MRS. KELLY BROOKE PADGETT (AGNP-C) as an active provider?
Patients and plans typically see MRS. KELLY BROOKE PADGETT (AGNP-C) as active in the national extract.
Which specialty label fits MRS. KELLY BROOKE PADGETT (AGNP-C)?
NPPES ties MRS. KELLY BROOKE PADGETT (AGNP-C) to Adult Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MRS. KELLY BROOKE PADGETT (AGNP-C)?
MRS. KELLY BROOKE PADGETT (AGNP-C) is associated with Deer Park, Texas in the same public data insurers reference.
Can I export MRS. KELLY BROOKE PADGETT (AGNP-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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