KELSIE KROLL – Psychiatric/Mental Health Nurse Practitioner, NPI 1558104588

KELSIE KROLL is a healthcare provider. based in Longwood, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 11032998 (FL). The NPI Number for KELSIE KROLL is 1558104588

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KELSIE KROLL
NPI
1558104588
Phone
(407) 620-7125
Address
106 DUNCAN TRL
Enumeration Date
17 June 2024
Last Update Date
22 November 2024

Doctor Profile

Medical School Name
UNIVERSITY OF THE INCARNATE WORD SCHOOL OF OSTEO MEDICINE
Secondary Phone
6154578585
Graduation Year
2023 (3 years ago)
PAC ID
5294255709
Group Practice PAC ID
7214261304
Professional Enrollment ID
I20250226003438
Address ID
TN372031553NA2410XSTXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:1State licenses:2Digital endpointsOther names

10,728 NURSE PRACTITIONER in TN

Provider Addresses for KELSIE KROLL

  • 106 DUNCAN TRL

    LONGWOOD, FL 327794511

    Phone: (407) 620-7125

    Type: Mailing

  • 2410 PATTERSON ST STE 210

    NASHVILLE, TN 372031553

    Phone: (615) 457-8585

    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: 2025-02-26

PECOS data refreshed: 2026-06-15

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
I20250226003438INurse PractitionerTNTBD

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 32779)

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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: 7214261304View full group profile
NameSpecialtyState
Nurse PractitionerCA
P S Y C H I A T R YTN
Nurse PractitionerTN
Nurse PractitionerTN
N E U R O L O G YTN
Clinical PsychologistTN
Nurse PractitionerTX
Nurse PractitionerLA
Nurse PractitionerTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

What identifier follows KELSIE KROLL across health systems?
The NPI 1558104588 uniquely identifies KELSIE KROLL in U.S. healthcare data.
Quick check: is KELSIE KROLL active?
Public NPPES data shows KELSIE KROLL with an active NPI status right now.
Which specialty label fits KELSIE KROLL?
NPPES ties KELSIE KROLL to Psychiatric/Mental Health Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to KELSIE KROLL?
KELSIE KROLL shows a connection to Longwood, Florida in registry-derived data.
Who maintains KELSIE KROLL's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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