KELLEY CERASUOLO (CPNP) – Nurse Practitioner, NPI 1841370277
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KELLEY CERASUOLO (CPNP)
200 Blossom st
Webster, TX 775984204
Phone: (281) 204-1334
Fax: (832) 632-2670
Type: Location
6701 Fannin St
Houston, TX 770302316
Phone: (832) 822-3555
Fax: (832) 825-3308
Type: Location
5600 S WILLOW DR STE 117
HOUSTON, TX 770354721
Phone: (713) 723-5600
Fax: (713) 772-5602
Type: Location
12377 MERIT DR STE 300
DALLAS, TX 752513126
Phone: (972) 957-3000
Type: Mailing
Texas Children's Hospital - Clinical Care Center, 6701, Fannin Street, Texas Medical Center, Houston, Harris County, Texas, 77030, United States
HOUSTON, TX 770302316
Phone: (832) 822-3555
Fax: (832) 825-3308
Type: Mailing
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: 2024-06-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20090714000760 | I | Nurse Practitioner | TX | TBD |
| I20240618000442 | I | Nurse Practitioner | ME | 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 77598)
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