Kelly Renee Conklin, DNP
NPI 1609893395ActiveIndividual· Nurse Practitioner, Family· Roseburg, OR
Nurse Practitioner, Family (DNP) with Icco LLC, practicing in Roseburg, Oregon. 33 Medicare patients in 2024, $1,907 paid; nearly all of their 98 Part D prescriptions were generic (91%). Lists Mercy Medical Center as a hospital affiliation.
Overview
| NPI | 1609893395 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DNP |
| Sole proprietor | No |
| NPI issued | Jul 17, 2006 |
| Last updated in NPPES | Feb 25, 2026 |
| Certified by provider | Feb 25, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 200450145NP | OR |
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 (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 33 |
|---|---|
| Services billed | 37 across 7 procedure codes |
| Paid by Medicare | $1,907 |
Part D prescriptions in 2024
| Prescriptions (claims) | 98 · 98 30-day fills |
|---|---|
| Patients | 80 |
| Total drug cost | $870.35 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 1996 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Icco LLCEugene, OR · 135 clinicians
Hospital affiliation
- Mercy Medical CenterRoseburg, OR
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner, Family providers in Roseburg
- 1346818481
- 1194695676
- 1700217064
- 1588203749
- 1629808860
- 1073946711
- 1043401201
- 1942738398
- 1942034756
- 1447262670
- 1346472347
- 1154406064