JULIA ELIZABETH KELLEY (FNP) – Nurse Practitioner, NPI 1578896338
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JULIA ELIZABETH KELLEY (FNP)
1029 E MAIN STE 104
PUYALLUP, WA 983723814
Phone: (534) 466-9772
Fax: (253) 604-4703
Type: Mailing
3360, Southwest 87th Avenue, Raleigh West, Portland, Metro, Washington County, Oregon, 97225, United States
PORTLAND, OR 972083360
Phone: (360) 486-6508
Type: Mailing
Marvin Road Northeast, Lacey, Thurston County, Washington, 98509, United States
PMG SW WA OLYMPIA ENDOCRINE
LACEY, WA 985163138
Phone: (360) 413-4250
Fax: (360) 413-4256
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 88 Open Payments records for all available years, with a total value of $1,857.
Total Amount is formed as General ($1,857) + Research ($0) + Ownership ($0) = $1,857.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novo Nordisk Inc ($293).
Total Amount
$1,857
General + Research + Ownership
Payments
88
Total payment records
General Amount
$1,857
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $293 |
| Abbott Laboratories | $194 |
| Lilly USA, LLC | $191 |
| Dexcom, Inc. | $98 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $81 |
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: 2014-07-24
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 |
|---|---|---|---|---|
| I20140724000524 | I | Nurse Practitioner | WA | 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 98372)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | WA | |
| H E M A T O L O G Y/ O N C O L O G Y | WA | |
| Gynecological Oncology, Obstetrics/Gynecology | CA | |
| - | OR | |
| Certified Nurse Midwife (Cnm) | WA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| - | WA | |
| Physician Assistant | WA | |
| - | WA | |
| - | WA |
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