DR. CONNOR MICHAEL KELLEY (DC) – Chiropractor, NPI 1366075160

DR. CONNOR MICHAEL KELLEY (DC) is a healthcare provider. based in Winter garden, Florida. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. CH13067 (FL). The NPI Number for DR. CONNOR MICHAEL KELLEY (DC) is 1366075160

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. CONNOR MICHAEL KELLEY (DC)
NPI
1366075160
Phone
(407) 395-8632
Address
1993 DANIELS RD STE 110
Enumeration Date
20 February 2020
Last Update Date
20 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3219391010
Graduation Year
2018 (8 years ago)
PAC ID
5496131450
Group Practice PAC ID
6103242417
Professional Enrollment ID
I20220929000792
Address ID
FL347474675CE606XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,472 CHIROPRACTIC in FL

Provider Addresses for DR. CONNOR MICHAEL KELLEY (DC)

  • 1993 DANIELS RD STE 110

    WINTER GARDEN, FL 347874599

    Phone: (407) 395-8632

    Fax: (407) 395-2408

    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: 2022-09-29

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
I20220929000792IChiropracticFLTBD

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.

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

Insurance plans in this area (ZIP 34787)

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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: 6103242417View full group profile
NameSpecialtyState
C H I R O P R A C T I CFL

Reviews

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Frequently asked questions

Does DR. CONNOR MICHAEL KELLEY (DC) have a public NPI I can cite?
Public records show DR. CONNOR MICHAEL KELLEY (DC) under NPI 1366075160.
Should I treat DR. CONNOR MICHAEL KELLEY (DC) as an active provider?
Patients and plans typically see DR. CONNOR MICHAEL KELLEY (DC) as active in the national extract.
What type of care does DR. CONNOR MICHAEL KELLEY (DC) provide?
DR. CONNOR MICHAEL KELLEY (DC)'s profile centers on Chiropractor. Clinical services aligned with this taxonomy classification.
Can patients visit DR. CONNOR MICHAEL KELLEY (DC) in Winter Garden, Florida?
For routing, start with Winter Garden, Florida for DR. CONNOR MICHAEL KELLEY (DC), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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