MS. KELLEY JEAN PRUITT (CNS, FNP) – Family Nurse Practitioner, NPI 1871737254
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MS. KELLEY JEAN PRUITT (CNS, FNP)
Electra, Aratia Collège Henri Hiro, Tuuhia, Puurai, Faʻaʻā, Windward Islands, French Polynesia, 98704, France
ELECTRA, TX 763601112
Phone: (940) 495-3981
Fax: (940) 432-3450
Type: Mailing
Southeast Access Road, Iowa Park, Wichita County, Texas, 76367, United States
IOWA PARK, TX 763676985
Phone: (940) 592-3500
Fax: (940) 592-4342
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $203.
Total Amount is formed as General ($203) + Research ($0) + Ownership ($0) = $203.
Last reported payment date: 2024-10-10 • Largest payer in this snapshot: Lilly USA, LLC ($35).
Total Amount
$203
General + Research + Ownership
Payments
10
Total payment records
General Amount
$203
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $35 |
| Janssen Pharmaceuticals, Inc | $30 |
| Corium, LLC | $29 |
| Averitas Pharma Inc. | $24 |
| Novartis Pharmaceuticals Corporation | $22 |
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: 2025-02-14
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 |
|---|---|---|---|---|
| I20250214002211 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76360)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| - | TX | |
| - | TX | |
| Nurse Practitioner | TX |
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