KELLY MCDANIEL (NP-C) – Family Nurse Practitioner, NPI 1275158164
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,303 NURSE PRACTITIONER in VA
Provider Addresses for KELLY MCDANIEL (NP-C)
288 ROLLING MEADOWS RD
LEBANON, VA 242665870
Phone: (276) 608-4114
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 2 Open Payments records for all available years, with a total value of $108.
Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.
Last reported payment date: 2024-09-04 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($94).
Total Amount
$108
General + Research + Ownership
Payments
2
Total payment records
General Amount
$108
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $94 |
| Dermavant Sciences, Inc. | $14 |
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: 2021-02-16
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 |
|---|---|---|---|---|
| I20210216001328 | I | Nurse Practitioner | TN | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 431 | 109 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 157 | 156 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 144 | 142 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 143 | 106 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 85 | 85 | $0 |
Insurance plans in this area (ZIP 24266)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | TN | |
| D E R M A T O L O G Y | TN | |
| Nurse Practitioner | TN | |
| D E R M A T O L O G Y | TN | |
| D E R M A T O L O G Y | TN | |
| - | TN | |
| D E R M A T O L O G Y | TN | |
| D E R M A T O L O G Y | TN | |
| Nurse Practitioner | TN | |
| D E R M A T O L O G Y | TN |
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