KELLY CARPENTER (APRN) – Critical Care Medicine Nurse Practitioner, NPI 1508573163

KELLY CARPENTER (APRN) is a healthcare provider. based in Naples, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11022720 (FL). The NPI Number for KELLY CARPENTER (APRN) is 1508573163

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
KELLY CARPENTER (APRN)
NPI
1508573163
Phone
(239) 624-5000
Address
350 7TH ST N
Enumeration Date
3 November 2022
Last Update Date
3 November 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
2396248250
Graduation Year
2021 (5 years ago)
PAC ID
6901277508
Group Practice PAC ID
9436139565
Professional Enrollment ID
I20230118001659
Address ID
FL341025886NA311XXNXXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for KELLY CARPENTER (APRN)

  • 350 7TH ST N

    NAPLES, FL 341025754

    Phone: (239) 624-5000

    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)

CMS reports 5 Open Payments records for all available years, with a total value of $452.

Total Amount is formed as General ($452) + Research ($0) + Ownership ($0) = $452.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Inari Medical, Inc. ($223).

Total Amount

$452

General + Research + Ownership

Payments

5

Total payment records

General Amount

$452

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-01-18

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
I20230118001659INurse PractitionerFLTBD

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 34102)

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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: 9436139565View full group profile
NameSpecialtyState
Family PracticeFL
-OH
-FL
H O S P I T A L I S TFL
-FL
Cardiovascular Disease (Cardiology)MN
Cardiovascular Disease (Cardiology)FL
Diagnostic RadiologyNC
Nurse PractitionerFL
-FL

Reviews

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Frequently asked questions

What NPI should I save for KELLY CARPENTER (APRN)?
Save NPI 1508573163 if you need a stable reference for KELLY CARPENTER (APRN).
Is KELLY CARPENTER (APRN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does KELLY CARPENTER (APRN) list a primary specialty?
If you are matching referrals, note Critical Care Medicine Nurse Practitioner for KELLY CARPENTER (APRN). Clinical services aligned with this taxonomy classification.
Does KELLY CARPENTER (APRN) practice in Florida?
You will see Naples, Florida on file for KELLY CARPENTER (APRN) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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