MICALYN KELLEY (APRN) – Nurse Practitioner, NPI 1205588803

MICALYN KELLEY (APRN) is a healthcare provider. based in Pensacola, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 1-123835 (AL). The NPI Number for MICALYN KELLEY (APRN) is 1205588803

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MICALYN KELLEY (APRN)
NPI
1205588803
Phone
(504) 444-7008
Address
1619 Creighton Rd Ste 1
Enumeration Date
25 January 2022
Last Update Date
9 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
8504444700
Graduation Year
2021 (5 years ago)
PAC ID
8628461712
Group Practice PAC ID
7214832856
Professional Enrollment ID
I20220214001653
Address ID
FL325047152PE1619XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MICALYN KELLEY (APRN)

  • 1619 Creighton Rd Ste 1

    Pensacola, FL 325047152

    Phone: (504) 444-7008

    Fax: (850) 444-7497

    Type: Location

  • 100 Lewis St

    Evergreen, AL 364013317

    Phone: (850) 444-4700

    Fax: (850) 444-7497

    Type: Location

  • PO BOX 11037

    PENSACOLA, FL 325241037

    Phone: (850) 444-4700

    Fax: (850) 444-7497

    Type: Mailing

  • 109 OPP AVE

    ANDALUSIA, AL 364203812

    Phone: (850) 444-4700

    Fax: (850) 444-7497

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $195.

Total Amount is formed as General ($195) + Research ($0) + Ownership ($0) = $195.

Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($107).

Total Amount

$195

General + Research + Ownership

Payments

11

Total payment records

General Amount

$195

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-08

Latest reported date

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: 2022-04-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220214001653INurse PractitionerFLTBD
I20220412000904INurse PractitionerALTBD

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 minutes437272$0
99204New patient office or other outpatient visit, 45-59 minutes4141$0
View full utilization report →

Insurance plans in this area (ZIP 32504)

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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: 7214832856View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for MICALYN KELLEY (APRN)?
MICALYN KELLEY (APRN) — NPI 1205588803 — is the standard way to identify this listing.
Is MICALYN KELLEY (APRN) listed as active for patients and plans?
The listing shows MICALYN KELLEY (APRN) as active in the NPI system.
What is MICALYN KELLEY (APRN)'s specialty?
The listing groups MICALYN KELLEY (APRN) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does MICALYN KELLEY (APRN) serve?
MICALYN KELLEY (APRN)'s listing highlights Pensacola, Florida; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.