KELLY MARIE WONG (NP) – Nurse Practitioner, NPI 1174803605
Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
24,243 NURSE PRACTITIONER in FL
Provider Addresses for KELLY MARIE WONG (NP)
861 SW 78TH AVE
STE 200B
PLANTATION, FL 333243273
Phone: (877) 693-5700
Type: Mailing
6553 E BAYWOOD AVE STE 201
MESA, AZ 852061754
Phone: (480) 467-2273
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 51 Open Payments records for all available years, with a total value of $2,889.
Total Amount is formed as General ($2,889) + Research ($0) + Ownership ($0) = $2,889.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Spinal Simplicity, LLC ($1,274).
Total Amount
$2,889
General + Research + Ownership
Payments
51
Total payment records
General Amount
$2,889
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Spinal Simplicity, LLC | $1,274 |
| Amgen Inc. | $217 |
| Vertos Medical, Inc. | $184 |
| Nalu Medical, Inc. | $178 |
| ABBVIE INC. | $149 |
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: 2011-10-31
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111031000731 | I | Nurse Practitioner | AZ | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 247 | 155 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 100 | 81 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 18 | 17 | $0 |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 18 | 16 | $0 |
Insurance plans in this area (ZIP 33324)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| Interventional Pain Management | AZ | |
| Anesthesiology, Pain Management | TX | |
| A N E S T H E S I O L O G Y | TX | |
| Physician Assistant | AZ | |
| Pain Management | AZ | |
| Nurse Practitioner | CA | |
| Interventional Pain Management | AZ | |
| Orthopedic Surgery | AZ |
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