DR. KELSEY ILENE KEIMIG (AU.D.) – Audiologist, NPI 1386129591

DR. KELSEY ILENE KEIMIG (AU.D.) is a healthcare provider. based in Ponte vedra beach, Florida. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D.. They hold a License No. 01646 (MD). The NPI Number for DR. KELSEY ILENE KEIMIG (AU.D.) is 1386129591

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELSEY ILENE KEIMIG (AU.D.)
NPI
1386129591
Phone
(904) 247-4070
Address
BEACHES EAR NOSE & THROAT PA
Enumeration Date
3 October 2018
Last Update Date
16 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4108890795
Graduation Year
2018 (8 years ago)
PAC ID
4284063454
Group Practice PAC ID
0042438814
Professional Enrollment ID
I20231020002970
Address ID
MD212865817TO1220XRDXX502
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:7State licenses:2Digital endpointsOther names

519 QUALIFIED AUDIOLOGIST in FL

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Provider Addresses for DR. KELSEY ILENE KEIMIG (AU.D.)

  • BEACHES EAR NOSE & THROAT PA

    PO BOX 3217

    PONTE VEDRA BEACH, FL 320043217

    Phone: (904) 247-4070

    Fax: (904) 247-4131

    Type: Mailing

  • South 3rd Street, Jacksonville, Jackson County, Oregon, 97530, United States

    STE 101

    JACKSONVILLE, FL 32250

    Phone: (904) 247-4070

    Fax: (904) 247-4131

    Type: Location

  • 119 AUBURN OAKS RD W

    JACKSONVILLE, FL 322184999

    Phone: (410) 812-1310

    Type: Mailing

  • 3627 UNIVERSITY BLVD S

    JACKSONVILLE, FL 322164230

    Phone: (904) 858-1912

    Type: Location

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: 2023-10-20

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
I20200409001327IQualified AudiologistFLTBD
I20231020002970IQualified AudiologistMDTBD

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
92567Test to assess middle ear function226220$0
92557Comprehensive hearing and speech recognition test217211$0
92553Test for hearing various pitches using earphone and device placed against the bone2020$0
92555Test for ability to detect and repeat spoken words2020$0
92653Evaluation of brain response to sound for diagnosis of nervous system disorders with interpretation and report1919$0
View full utilization report →

Insurance plans in this area (ZIP 32004)

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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: 0042438814View full group profile
NameSpecialtyState
Qualified AudiologistMD
Nurse PractitionerMD
Qualified AudiologistMD
O T O L A R Y N G O L O G YMD

Reviews

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Frequently asked questions

What is the standard ID for DR. KELSEY ILENE KEIMIG (AU.D.) in the U.S.?
In the U.S., DR. KELSEY ILENE KEIMIG (AU.D.) is identified by NPI 1386129591.
Does the public listing show DR. KELSEY ILENE KEIMIG (AU.D.) as active?
DR. KELSEY ILENE KEIMIG (AU.D.)'s NPI record reflects an active status in NPPES.
What type of care does DR. KELSEY ILENE KEIMIG (AU.D.) provide?
DR. KELSEY ILENE KEIMIG (AU.D.)'s profile centers on Audiologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. KELSEY ILENE KEIMIG (AU.D.)?
DR. KELSEY ILENE KEIMIG (AU.D.) is associated with Ponte Vedra Beach, Florida in the same public data insurers reference.
Who maintains DR. KELSEY ILENE KEIMIG (AU.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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