MR. FRED A II KELLY (ARNP) – Family Nurse Practitioner, NPI 1407399470
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
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Provider Addresses for MR. FRED A II KELLY (ARNP)
1114, Cambridge Street, Deltona, Volusia County, Florida, 32725, United States
DELTONA, FL 327253652
Phone: (407) 952-5705
Type: Mailing
Winderley Place, Maitland, Orange County, Florida, 32810, United States
MAITLAND, FL 32751
Phone: (407) 952-5705
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $319.
Total Amount is formed as General ($319) + Research ($0) + Ownership ($0) = $319.
Last reported payment date: 2024-06-11 • Largest payer in this snapshot: ATRICURE, INC. ($197).
Total Amount
$319
General + Research + Ownership
Payments
8
Total payment records
General Amount
$319
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ATRICURE, INC. | $197 |
| Baxter Healthcare | $61 |
| Edwards Lifesciences Corporation | $27 |
| Novo Nordisk Inc | $20 |
| Ultragenyx Pharmaceutical Inc. | $13 |
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: 2023-01-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170310001381 | I | Nurse Practitioner | FL | TBD |
| I20230109000623 | I | Nurse Practitioner | MT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99283 | Emergency department visit with low level of medical decision making | 12 | 11 | $0 |
Insurance plans in this area (ZIP 32725)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MT | |
| - | MT | |
| Physician Assistant | GA | |
| Physician Assistant | MT | |
| Family Practice | MT | |
| Physician Assistant | MT | |
| Physician Assistant | MT |
Reviews
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