MEREDITH JILL KELLY (APRN) – Nurse Practitioner, NPI 1114457488

MEREDITH JILL KELLY (APRN) is a healthcare provider. based in Coral springs, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11013919 (FL). The NPI Number for MEREDITH JILL KELLY (APRN) is 1114457488

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
MEREDITH JILL KELLY (APRN)
NPI
1114457488
Phone
(954) 803-9002
Address
5441 N UNIVERSITY DR STE 101
Enumeration Date
19 June 2017
Last Update Date
12 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9548039002
Graduation Year
2015 (11 years ago)
PAC ID
0941567218
Group Practice PAC ID
8123393881
Professional Enrollment ID
I20240627002395
Address ID
FL333161910FO1414XAVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MEREDITH JILL KELLY (APRN)

  • 5441 N UNIVERSITY DR STE 101

    CORAL SPRINGS, FL 330674640

    Phone: (954) 803-9002

    Fax: (954) 933-2305

    Type: Mailing

  • Sierra Rose Drive, Reno, Washoe County, Nevada, 89502, United States

    RENO, NV 895112093

    Phone: (775) 689-5410

    Fax: (775) 689-5432

    Type: Mailing

  • 8395 W Oakland Park Blvd Ste E-F

    Sunrise, FL 333517301

    Phone: (954) 803-9002

    Fax: (954) 933-2305

    Type: Location

  • 1414 SE 3rd Ave

    Fort Lauderdale, FL 333161910

    Phone: (954) 803-9002

    Fax: (954) 933-2305

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $112.

Total Amount is formed as General ($112) + Research ($0) + Ownership ($0) = $112.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: ABBVIE INC. ($45).

Total Amount

$112

General + Research + Ownership

Payments

5

Total payment records

General Amount

$112

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

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: 2024-06-27

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
I20240627002395INurse 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 33067)

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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: 8123393881View full group profile
NameSpecialtyState
N E U R O L O G YFL
Clinical PsychologistFL
Nurse PractitionerFL
Clinical PsychologistFL
N E U R O L O G YFL
Neurology, NeuropsychiatryFL
N E U R O L O G YFL
N E U R O L O G YFL
Clinical PsychologistFL
-FL

Reviews

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Frequently asked questions

Can I verify MEREDITH JILL KELLY (APRN) with an NPI only?
You can start verification with NPI 1114457488 for MEREDITH JILL KELLY (APRN), then check state licensing separately.
Does CMS list MEREDITH JILL KELLY (APRN) as active?
Yes — MEREDITH JILL KELLY (APRN) is active in the NPI listing used on this page.
What healthcare role does MEREDITH JILL KELLY (APRN) hold?
Scheduling teams often label MEREDITH JILL KELLY (APRN) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MEREDITH JILL KELLY (APRN) based?
MEREDITH JILL KELLY (APRN) is tied to Coral Springs, Florida in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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