KELSIE THOMAS – Physician Assistant, NPI 1184286221

KELSIE THOMAS is a healthcare provider. based in Lady lake, Florida. specializing in PHYSICIAN ASSISTANT. They hold a License No. 9112153 (FL). The NPI Number for KELSIE THOMAS is 1184286221

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KELSIE THOMAS
NPI
1184286221
Phone
Not provided
Address
805 COUNTY ROAD 466
Enumeration Date
28 June 2019
Last Update Date
28 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4074108670
Graduation Year
2018 (8 years ago)
PAC ID
3779819768
Group Practice PAC ID
1759666050
Professional Enrollment ID
I20190729003426
Address ID
FL327719336SA5102XSRXX201
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for KELSIE THOMAS

  • County Road 466, Lady Lake, The Villages, Sumter County, Florida, 32162, United States

    LADY LAKE, FL 32159

    Phone:

    Mailing address matches the actual address.

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: 2019-07-29

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
I20190729003426IPhysician AssistantFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes119108$0
99203New patient office or other outpatient visit, 30-44 minutes110110$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza6055$0
87804Detection test by immunoassay with direct visual observation for influenza virus3015$0
99214Established patient office or other outpatient visit, 30-39 minutes2323$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: 1759666050View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerMO
Nurse PractitionerNY
Nurse PractitionerFL
Nurse PractitionerFL
Family PracticeFL
Nurse PractitionerFL
Family PracticeNM
Physician AssistantTN
Physician AssistantFL

Reviews

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Frequently asked questions

Where can patients find KELSIE THOMAS's NPI?
You can confirm KELSIE THOMAS with NPI 1184286221; it appears in the national provider directory.
Does this profile mean KELSIE THOMAS is currently active?
Yes — KELSIE THOMAS appears active in the national provider directory.
What field does KELSIE THOMAS work in?
You can think of KELSIE THOMAS as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for KELSIE THOMAS?
The page summarizes Lady Lake, Florida for KELSIE THOMAS; expand the address list for detail.
What if Lady Lake, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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