MRS. KELLY AUCLAIR (APRN) – Family Nurse Practitioner, NPI 1013898758

MRS. KELLY AUCLAIR (APRN) is a healthcare provider. based in St augustine, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11041885 (FL). The NPI Number for MRS. KELLY AUCLAIR (APRN) is 1013898758

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
MRS. KELLY AUCLAIR (APRN)
NPI
1013898758
Phone
Not provided
Address
316 PASEO REYES DR
Enumeration Date
9 September 2025
Last Update Date
7 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9045445800
Graduation Year
2025 (1 year ago)
PAC ID
5092206656
Group Practice PAC ID
2769897974
Professional Enrollment ID
I20251112001681
Address ID
FL320958464ST316XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MRS. KELLY AUCLAIR (APRN)

  • 316 PASEO REYES DR

    ST AUGUSTINE, FL 320958464

    Phone:

    Mailing address matches the actual address.

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: 2025-11-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20251112001681INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32095)

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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: 2769897974View full group profile
NameSpecialtyState
Micrographic Dermatologic Surgery (Mds), DermatologyFL
Physician AssistantMA
Physician AssistantFL
D E R M A T O L O G YFL

Reviews

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Frequently asked questions

How do payers reference MRS. KELLY AUCLAIR (APRN)?
For MRS. KELLY AUCLAIR (APRN), use NPI 1013898758 as the unique 10-digit identifier.
Is MRS. KELLY AUCLAIR (APRN) still an active registrant?
MRS. KELLY AUCLAIR (APRN) carries an active NPI according to the public dataset.
What clinical focus is listed for MRS. KELLY AUCLAIR (APRN)?
At a glance, MRS. KELLY AUCLAIR (APRN) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. KELLY AUCLAIR (APRN)?
Travel planning: use St Augustine, Florida as the reference point for MRS. KELLY AUCLAIR (APRN), then confirm.
When was this NPI issued?
Enumeration for MRS. KELLY AUCLAIR (APRN) is noted as September 9, 2025 where the registry provides it.

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