KELLY J. ROMANELLY – Primary Care Nurse Practitioner, NPI 1639328537
Primary Care Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for KELLY J. ROMANELLY
293 NW PEACOCK BLVD
PORT ST LUCIE, FL 349862222
Phone: (772) 336-6601
Fax: (772) 446-7681
Type: Location
9th Street, Columbia Falls, Flathead County, Montana, 59912, United States
COLUMBIA FALLS, MT 599124410
Phone: (406) 892-3206
Fax: (406) 892-2381
Type: Mailing
602 SW CABURN AVE
PORT ST LUCIE, FL 349537667
Phone: (812) 239-1348
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $590.
Total Amount is formed as General ($590) + Research ($0) + Ownership ($0) = $590.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Novo Nordisk Inc ($163).
Total Amount
$590
General + Research + Ownership
Payments
30
Total payment records
General Amount
$590
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $163 |
| Amgen Inc. | $66 |
| AstraZeneca Pharmaceuticals LP | $60 |
| Bayer Healthcare Pharmaceuticals Inc. | $50 |
| Astellas Pharma US Inc | $48 |
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: 2010-03-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100310000707 | I | Nurse Practitioner | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34986)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| - | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | FL | |
| U R O L O G Y | FL | |
| Orthopedic Surgery | FL | |
| Family Practice | FL | |
| Family Practice | IN | |
| Cardiovascular Disease (Cardiology), Internal Medicine | FL | |
| P O D I A T R Y | FL | |
| - | FL |
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