AMANDA A KELVEY (D.O.) – Family Medicine Physician, NPI 1083064026

AMANDA A KELVEY (D.O.) is a healthcare provider. based in Lady lake, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. OS22822 (FL). The NPI Number for AMANDA A KELVEY (D.O.) is 1083064026

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA A KELVEY (D.O.)
NPI
1083064026
Phone
(352) 753-0606
Address
201 LAGRANDE BLVD
Enumeration Date
21 June 2016
Last Update Date
12 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5086365101
Graduation Year
2016 (10 years ago)
PAC ID
4587958152
Group Practice PAC ID
0749171957
Professional Enrollment ID
I20190815003049
Address ID
MA027904128WE827XXHWYX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:9State licenses:2Digital endpointsOther names

6,723 FAMILY PRACTICE in FL

Provider Addresses for AMANDA A KELVEY (D.O.)

  • 201 LAGRANDE BLVD

    LADY LAKE, FL 321591303

    Phone: (352) 753-0606

    Fax: (352) 753-0650

    Type: Mailing

  • Memorial Hospital of Rhode Island, 111, Brewster Street, Pawtucket, Providence County, Rhode Island, 02860, United States

    FCC TEAM C

    PAWTUCKET, RI 028604474

    Phone: (401) 729-2769

    Fax: (401) 729-2772

    Type: Location

  • 827 American Legion Hwy

    Westport, MA 027904128

    Phone: (508) 636-5101

    Fax: (508) 636-3651

    Type: Location

  • 200 MILL RD

    FAIRHAVEN, MA 027195252

    Phone: (508) 636-5101

    Fax: (508) 636-3651

    Type: Mailing

  • 827 AMERICAN LEGION HWY

    WESTPORT, MA 027904128

    Phone: (508) 636-5101

    Fax: (508) 636-3651

    Type: Location

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 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
I20190815003049IFamily PracticeMATBD
I20251112001952IFamily PracticeFLTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 32159)

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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: 0749171957View full group profile
NameSpecialtyState
Pain Management, AnesthesiologyMA
Physician AssistantMA
-MA
Physical Therapist In Private PracticeMA
H O S P I T A L I S TRI
-MA
-MA
Physician AssistantMA
General SurgeryMA
Internal Medicine, Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMA

Reviews

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Frequently asked questions

What is the 10-digit NPI for AMANDA A KELVEY (D.O.)?
AMANDA A KELVEY (D.O.) — NPI 1083064026 — is the standard way to identify this listing.
Does CMS list AMANDA A KELVEY (D.O.) as active?
Yes — AMANDA A KELVEY (D.O.) is active in the NPI listing used on this page.
What is AMANDA A KELVEY (D.O.)'s specialty?
The listing groups AMANDA A KELVEY (D.O.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does AMANDA A KELVEY (D.O.) serve?
AMANDA A KELVEY (D.O.)'s listing highlights Lady Lake, Florida; more addresses can appear in NPPES.
Is the information about AMANDA A KELVEY (D.O.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."