KELLY ELIZABETH KEOUGH (PA-C) – Medical Physician Assistant, NPI 1255798005

KELLY ELIZABETH KEOUGH (PA-C) is a healthcare provider. based in Tampa, Florida. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PAT9109279 (FL). The NPI Number for KELLY ELIZABETH KEOUGH (PA-C) is 1255798005

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KELLY ELIZABETH KEOUGH (PA-C)
NPI
1255798005
Phone
(813) 345-2380
Address
13801 Bruce B Downs Blvd
Enumeration Date
25 January 2016
Last Update Date
7 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8139251903
Graduation Year
2015 (11 years ago)
PAC ID
4183918956
Group Practice PAC ID
7618235573
Professional Enrollment ID
I20160802003231
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for KELLY ELIZABETH KEOUGH (PA-C)

  • 13801 Bruce B Downs Blvd

    Suite 406

    Tampa, FL 336133946

    Phone: (813) 345-2380

    Type: Location

  • 3301 W GANDY BLVD

    TAMPA, FL 336112931

    Phone: (813) 925-1903

    Fax: (813) 749-8370

    Type: Mailing

  • Bruce B Downs Boulevard, Tampa, Hillsborough County, Florida, 33647, United States

    SUITE 406

    TAMPA, FL 336133946

    Phone: (813) 345-2380

    Type: Mailing

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33613)

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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: 7618235573View full group profile
NameSpecialtyState
DANAYSI RAMOS (ARNP)
-FL
JENNA LEIGH TILLETT (APRN)
-FL
MRS. TINA MARIE FITCH CARTER (ARNP)
Nurse PractitionerFL
SUSAN L RHINELANDER (NP)
-VA
MRS. SAMANTHA SYLVAIN (ARNP)
Nurse PractitionerFL
JAMES SMITH (DO)
Family PracticePA
JENNIFER LYNN VAN KEULEN (PA-C)
Physician AssistantFL
MRS. NICKOLE AIMEE BACON (APRN-C)
Nurse PractitionerFL
MR. GARY DONALD WOODIWISS (PA-C)
Physician AssistantFL
MISS LEAH ROSE ZALSMAN (PA-C)
Physician AssistantCA

Reviews

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Frequently asked questions

How do payers reference KELLY ELIZABETH KEOUGH (PA-C)?
For KELLY ELIZABETH KEOUGH (PA-C), use NPI 1255798005 as the unique 10-digit identifier.
Active or inactive — what applies to KELLY ELIZABETH KEOUGH (PA-C)?
You should see KELLY ELIZABETH KEOUGH (PA-C) as active in CMS-hosted NPPES data.
How would a patient describe KELLY ELIZABETH KEOUGH (PA-C)'s focus?
For KELLY ELIZABETH KEOUGH (PA-C), the primary taxonomy reads as Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KELLY ELIZABETH KEOUGH (PA-C)?
Travel planning: use Tampa, Florida as the reference point for KELLY ELIZABETH KEOUGH (PA-C), then confirm.
Can I trust this NPI listing for KELLY ELIZABETH KEOUGH (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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