KELLY LYNN RAUCH (FNP) – Family Nurse Practitioner, NPI 1013256338

KELLY LYNN RAUCH (FNP) is a healthcare provider. based in Ormond beach, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. AP4811 (AZ). The NPI Number for KELLY LYNN RAUCH (FNP) is 1013256338

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
KELLY LYNN RAUCH (FNP)
NPI
1013256338
Phone
(386) 671-0600
Address
325 CLYDE MORRIS BLVD STE 400
Enumeration Date
6 February 2013
Last Update Date
21 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3866710600
Graduation Year
2012 (14 years ago)
PAC ID
3072751114
Group Practice PAC ID
0547350068
Professional Enrollment ID
I20250411001963
Address ID
FL321748185OR325XXBLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for KELLY LYNN RAUCH (FNP)

  • 325 CLYDE MORRIS BLVD STE 400

    ORMOND BEACH, FL 321748185

    Phone: (386) 671-0600

    Fax: (386) 677-9710

    Type: Location

  • 27810 SUMMERGATE BLVD

    WESLEY CHAPEL, FL 335446919

    Phone: (813) 388-2948

    Fax: (813) 388-6827

    Type: Mailing

  • 3815 E BELL RD STE 2200

    PHOENIX, AZ 850322139

    Phone: (602) 633-3838

    Fax: (602) 633-3845

    Type: Mailing

  • 7330 N 99TH AVE STE 325

    GLENDALE, AZ 853073022

    Phone: (623) 882-1292

    Fax: (623) 882-8184

    Type: Location

  • 780 Dunlawton Ave Ste 103

    Port Orange, FL 321274252

    Phone: (386) 671-0600

    Fax: (386) 677-6631

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $165.

Total Amount is formed as General ($165) + Research ($0) + Ownership ($0) = $165.

Last reported payment date: 2024-04-08 • Largest payer in this snapshot: Abbott Laboratories ($95).

Total Amount

$165

General + Research + Ownership

Payments

9

Total payment records

General Amount

$165

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-04-11

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130530000461INurse PractitionerAZTBD
I20250411001963INurse PractitionerFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes28999$0
99214Established patient office or other outpatient visit, 30-39 minutes7548$0
99203New patient office or other outpatient visit, 30-44 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 32174)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547350068View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Physician AssistantFL
Physical Medicine And RehabilitationTN
Interventional Pain Management, Pain ManagementFL
Nurse PractitionerFL
Physical Therapist In Private PracticeFL
-FL
Physical Medicine And RehabilitationFL
Physician AssistantFL

Reviews

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Frequently asked questions

What is KELLY LYNN RAUCH (FNP)'s NPI number?
KELLY LYNN RAUCH (FNP)'s NPI is 1013256338 — the number used across U.S. healthcare to identify this provider.
Is KELLY LYNN RAUCH (FNP) shown as active in public data?
Registry records indicate KELLY LYNN RAUCH (FNP) maintains an active NPI.
What expertise is attributed to KELLY LYNN RAUCH (FNP)?
KELLY LYNN RAUCH (FNP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with KELLY LYNN RAUCH (FNP)?
Directory geography for KELLY LYNN RAUCH (FNP) centers on Ormond Beach, Florida.
When was this NPI issued?
Enumeration for KELLY LYNN RAUCH (FNP) is noted as February 6, 2013 where the registry provides it.

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