Kelley Qualters
NPI 1124761671ActiveIndividual· Nurse Practitioner, Adult Health· South Portland, ME
Nurse Practitioner, Adult Health with Memorial Neurology Group, practicing in South Portland, Maine. 130 Medicare patients in 2024, $32,070 paid; nearly all of their 459 Part D prescriptions were generic (90%).
Overview
| NPI | 1124761671 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 13, 2022 |
| Last updated in NPPES | Apr 13, 2022 |
| Certified by provider | Apr 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | 309069 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 130 |
|---|---|
| Services billed | 308 across 11 procedure codes |
| Paid by Medicare | $32,070 |
Part D prescriptions in 2024
| Prescriptions (claims) | 459 · 471 30-day fills |
|---|---|
| Patients | 93 |
| Total drug cost | $32,104 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Memorial Neurology GroupNew York, NY · 93 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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