KELLY TYRRELL RANGE (NP) – Acute Care Nurse Practitioner, NPI 1063045821

KELLY TYRRELL RANGE (NP) is a healthcare provider. based in Largo, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 11006219 (FL). The NPI Number for KELLY TYRRELL RANGE (NP) is 1063045821

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KELLY TYRRELL RANGE (NP)
NPI
1063045821
Phone
Not provided
Address
10516 SILHAVY DR
Enumeration Date
19 February 2020
Last Update Date
29 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
9335560937
Group Practice PAC ID
8224113527
Professional Enrollment ID
I20200608001620
Address ID
FL336184569TA2901XBLVD402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for KELLY TYRRELL RANGE (NP)

  • 10516 SILHAVY DR

    LARGO, FL 337745223

    Phone:

    Type: Mailing

  • 2191 9TH AVE N

    ST PETERSBURG, FL 337137146

    Phone: (727) 821-8101

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $1,053.

Total Amount is formed as General ($1,053) + Research ($0) + Ownership ($0) = $1,053.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Novo Nordisk Inc ($319).

Total Amount

$1,053

General + Research + Ownership

Payments

32

Total payment records

General Amount

$1,053

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2020-06-08

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
I20200608001620INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes11058$0
View full utilization report →

Insurance plans in this area (ZIP 33774)

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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: 8224113527View full group profile
NameSpecialtyState
General Surgery, Vascular SurgeryFL
General SurgeryFL
General SurgeryFL
General SurgeryFL
Physician AssistantFL
General Surgery, Vascular SurgeryFL
-FL
General SurgeryFL
General SurgeryFL
-FL

Reviews

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Frequently asked questions

What federal number belongs to KELLY TYRRELL RANGE (NP)?
The federal identifier for KELLY TYRRELL RANGE (NP) is NPI 1063045821.
Is KELLY TYRRELL RANGE (NP) active in the national directory?
KELLY TYRRELL RANGE (NP)'s public NPI profile is in an active state.
What kind of provider is KELLY TYRRELL RANGE (NP)?
The page reflects Acute Care Nurse Practitioner for KELLY TYRRELL RANGE (NP). Clinical services aligned with this taxonomy classification.
Does KELLY TYRRELL RANGE (NP) practice in Florida?
You will see Largo, Florida on file for KELLY TYRRELL RANGE (NP) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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