KELLY JO MCINTOSH-FREEMAN (APRN) – Family Nurse Practitioner, NPI 1174080253

KELLY JO MCINTOSH-FREEMAN (APRN) is a healthcare provider. based in Atlantis, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11006070 (FL). The NPI Number for KELLY JO MCINTOSH-FREEMAN (APRN) is 1174080253

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KELLY JO MCINTOSH-FREEMAN (APRN)
NPI
1174080253
Phone
(561) 967-4118
Address
5401 S CONGRESS AVE STE 204
Enumeration Date
26 February 2019
Last Update Date
19 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5617953360
Graduation Year
2019 (7 years ago)
PAC ID
8224365929
Group Practice PAC ID
3678733342
Professional Enrollment ID
I20200317000611
Address ID
FL334149302WE10330BLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:7State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for KELLY JO MCINTOSH-FREEMAN (APRN)

  • 5401 S CONGRESS AVE STE 204

    ATLANTIS, FL 334626637

    Phone: (561) 967-4118

    Fax: (561) 967-3463

    Type: Location

  • Central Industrial Drive, Riviera Beach, North Palm Beach, Palm Beach County, Florida, 33404, United States

    RIVIERA BEACH, FL 334043426

    Phone: (561) 863-8004

    Fax: (561) 863-8005

    Type: Location

  • 1109 CENTERSTONE LANE

    RIVIERA BEACH, FL 33404

    Phone: (561) 891-6055

    Type: Mailing

  • 10101 Forest Hill Blvd

    Wellington, FL 334146103

    Phone: (561) 766-1300

    Type: Location

  • 10101 FOREST HILL BLVD

    WELLINGTON, FL 334146103

    Phone: (561) 766-1300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $489.

Total Amount is formed as General ($489) + Research ($0) + Ownership ($0) = $489.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($364).

Total Amount

$489

General + Research + Ownership

Payments

4

Total payment records

General Amount

$489

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

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: 2020-03-17

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
I20200317000611INurse 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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes11559$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5627$0
View full utilization report →

Insurance plans in this area (ZIP 33462)

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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: 3678733342View full group profile
NameSpecialtyState
Nurse PractitionerFL
Family PracticeFL
Internal MedicineFL
-FL
-FL
Nurse PractitionerFL
Internal MedicineNV
Cardiovascular Disease (Cardiology)PR
Internal MedicineFL
Internal MedicineFL

Reviews

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Frequently asked questions

What is the standard ID for KELLY JO MCINTOSH-FREEMAN (APRN) in the U.S.?
In the U.S., KELLY JO MCINTOSH-FREEMAN (APRN) is identified by NPI 1174080253.
Quick check: is KELLY JO MCINTOSH-FREEMAN (APRN) active?
Public NPPES data shows KELLY JO MCINTOSH-FREEMAN (APRN) with an active NPI status right now.
Which specialty label fits KELLY JO MCINTOSH-FREEMAN (APRN)?
NPPES ties KELLY JO MCINTOSH-FREEMAN (APRN) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to KELLY JO MCINTOSH-FREEMAN (APRN)?
The directory associates KELLY JO MCINTOSH-FREEMAN (APRN) with Atlantis, Florida. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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