KELLI MCCARTNEY (APRN,NP-C) – Family Nurse Practitioner, NPI 1689149742
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KELLI MCCARTNEY (APRN,NP-C)
25 S Main St Ste 6
Munroe Falls, OH 442621660
Phone: (330) 443-9800
Type: Location
10175 Little Patuxent Pkwy
Columbia, MD 210442655
Phone: (800) 888-1965
Type: Location
1651, Oak Street, Salem, Columbiana County, Ohio, 44460, United States
SALEM, OH 444603360
Phone: (330) 564-7973
Type: Mailing
101, North Miller Road, Fairlawn, Summit County, Ohio, 44333, United States
FAIRLAWN, OH 443333729
Phone: (330) 873-3468
Type: Location
10175 LITTLE PATUXENT PKWY
COLUMBIA, MD 210442655
Phone: (800) 888-1965
Type: Location
PO BOX 211699
EAGAN, MN 551213699
Phone: (866) 849-0692
Fax: (888) 973-8821
Type: Mailing
3700 PARK EAST DR STE 450
BEACHWOOD, OH 441224318
Phone: (866) 849-0692
Fax: (888) 973-8821
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-10-21
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20181112001023 | I | Nurse Practitioner | OH | TBD |
| I20230619000608 | I | Nurse Practitioner | FL | TBD |
| I20240610003141 | I | Nurse Practitioner | TN | TBD |
| I20241021002995 | I | Nurse Practitioner | IL | 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 44262)
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