MICHAEL C KELLY (NP) – Nurse Practitioner, NPI 1760425201
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
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Provider Addresses for MICHAEL C KELLY (NP)
Lacey Square, Cashel, The Municipal District of Cahir — Cashel, County Tipperary, Munster, E25 RD21, Ireland
LACEY, WA 985095007
Phone: (800) 599-0166
Type: Mailing
Providence St. Peter Hospital, 413, Lilly Road Northeast, Olympia, Thurston County, Washington, 98506, United States
OLYMPIA, WA 985065133
Phone: (360) 491-9480
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $8.
Total Amount is formed as General ($8) + Research ($0) + Ownership ($0) = $8.
Last reported payment date: 2024-03-20 • Largest payer in this snapshot: Shockwave Medical, Inc ($8).
Total Amount
$8
General + Research + Ownership
Payments
1
Total payment records
General Amount
$8
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Shockwave Medical, Inc | $8 |
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: 2005-08-26
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 |
|---|---|---|---|---|
| I20050826000379 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 139 | 136 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 59 | 59 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 39 | 38 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 37 | 36 | $0 |
Insurance plans in this area (ZIP 98509)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | TX | |
| Emergency Medicine | WA | |
| Emergency Medicine | WA | |
| Physician Assistant | WA | |
| Emergency Medicine | WA | |
| Emergency Medicine | OH | |
| Emergency Medicine | VA | |
| Physician Assistant | WA | |
| Emergency Medicine | AZ | |
| Emergency Medicine | RI |
Reviews
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