MS. KELLI MOREAU (APRN) – Family Nurse Practitioner, NPI 1194738104

MS. KELLI MOREAU (APRN) is a healthcare provider. based in Fort myers, Florida. specializing in Family Nurse Practitioner. They hold the professional credentials APRN. They hold a License No. 002783 (CT). The NPI Number for MS. KELLI MOREAU (APRN) is 1194738104

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MS. KELLI MOREAU (APRN)
NPI
1194738104
Phone
(877) 856-3774
Address
2675 WINKLER AVE FL 2
Enumeration Date
14 August 2006
Last Update Date
29 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
9032392378
Group Practice PAC ID
1355246950
Professional Enrollment ID
I20110324000537
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for MS. KELLI MOREAU (APRN)

  • 2675 WINKLER AVE FL 2

    FORT MYERS, FL 339019342

    Phone: (877) 856-3774

    Type: Mailing

  • 4130 TAMIAMI TRL UNIT 202

    PORT CHARLOTTE, FL 339529207

    Phone: (941) 787-7111

    Type: Location

  • 4, Farm Springs Road, Farmington, Capitol Planning Region, Connecticut, 06032, United States

    PROHEALTH PHYSICIANS

    FARMINGTON, CT 060322573

    Phone: (860) 284-5200

    Fax: (860) 284-5333

    Type: Mailing

  • 25, Collins Road, Bristol, Hartford County, Connecticut, 06010, United States

    BRISTOL, CT 060103893

    Phone: (860) 589-8882

    Fax: (860) 585-8898

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $284.

Total Amount is formed as General ($284) + Research ($0) + Ownership ($0) = $284.

Last reported payment date: 2024-06-27 • Largest payer in this snapshot: ABBVIE INC. ($77).

Total Amount

$284

General + Research + Ownership

Payments

16

Total payment records

General Amount

$284

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-27

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: 2021-07-13

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
I20210713001950INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes414259$0
36415Insertion of needle into vein for collection of blood sample196137$0
80053Blood test, comprehensive group of blood chemicals144119$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count136115$0
84443Blood test, thyroid stimulating hormone (tsh)10495$0
View full utilization report →

Insurance plans in this area (ZIP 33901)

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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: 1355246950View full group profile

Reviews

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Frequently asked questions

What federal number belongs to MS. KELLI MOREAU (APRN)?
The federal identifier for MS. KELLI MOREAU (APRN) is NPI 1194738104.
Is MS. KELLI MOREAU (APRN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MS. KELLI MOREAU (APRN)?
The page reflects Family Nurse Practitioner for MS. KELLI MOREAU (APRN). Clinical services aligned with this taxonomy classification.
Where is MS. KELLI MOREAU (APRN)'s primary listing?
We display Fort Myers, Florida because that is what the record indicates for MS. KELLI MOREAU (APRN).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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