MARY MARGARET KELLY (NP) – Nurse Practitioner, NPI 1902992498
Nurse Practitioner
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MARY MARGARET KELLY (NP)
1735 E HWY 50 STE B
CLERMONT, FL 347115189
Phone: (352) 241-0549
Fax: (352) 242-9325
Type: Location
101, Park Drive, Sylvan Beach, La Porte, Harris County, Texas, 77571, United States
HARRISBURG, PA 171109303
Phone: (717) 686-9842
Type: Location
931, Glick Avenue, Bungalow Park, Dorneyville, Allentown, Lehigh County, Pennsylvania, 18103, United States
ALLENTOWN, PA 181031313
Phone: (610) 432-3966
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $195.
Total Amount is formed as General ($195) + Research ($0) + Ownership ($0) = $195.
Last reported payment date: 2024-10-17 • Largest payer in this snapshot: TerSera Therapeutics LLC ($124).
Total Amount
$195
General + Research + Ownership
Payments
7
Total payment records
General Amount
$195
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TerSera Therapeutics LLC | $124 |
| MERZ NORTH AMERICA, INC. | $45 |
| REVANCE THERAPEUTICS, INC. | $27 |
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: 2022-06-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220607001332 | I | Nurse Practitioner | FL | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 61 | 48 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 52 | 39 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 36 | 36 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 13 | 13 | $0 |
Insurance plans in this area (ZIP 34711)
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