KELLY OSULLIVAN-STOBBE (PAC MS) – Physician Assistant, NPI 1750372934

KELLY OSULLIVAN-STOBBE (PAC MS) is a healthcare provider. based in Saint petersburg, Florida. specializing in Physician Assistant. They hold the professional credentials PAC MS. They hold a License No. PA0003199 (FL). The NPI Number for KELLY OSULLIVAN-STOBBE (PAC MS) is 1750372934

Main info

Female
30 Years Of Experience
Name
KELLY OSULLIVAN-STOBBE (PAC MS)
NPI
1750372934
Phone
(727) 824-0780
Address
10051 5TH ST N STE 200
Enumeration Date
4 November 2005
Last Update Date
3 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4078894711
Graduation Year
1996 (30 years ago)
PAC ID
7517974975
Group Practice PAC ID
0840550562
Professional Enrollment ID
I20060310000085
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for KELLY OSULLIVAN-STOBBE (PAC MS)

  • 5th Street North, Downtown, Saint Petersburg, Pinellas County, Florida, 33701, United States

    SAINT PETERSBURG, FL 337022211

    Phone: (727) 824-0780

    Fax: (727) 568-6011

    Type: Mailing

  • 202, Park Avenue, Apopka, South Apopka, Orange County, Florida, 32703, United States

    APOPKA, FL 327034148

    Phone: (407) 889-4711

    Fax: (407) 889-7742

    Type: Location

  • 202 N PARK AVE

    APOPKA, FL 327034148

    Phone: (407) 889-4711

    Fax: (407) 889-7742

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $284.

Total Amount is formed as General ($284) + Research ($0) + Ownership ($0) = $284.

Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Novo Nordisk Inc ($106).

Total Amount

$284

General + Research + Ownership

Payments

7

Total payment records

General Amount

$284

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-17

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: 2006-03-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060310000085IPhysician AssistantFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes10171$0
99213Established patient office or other outpatient visit, 20-29 minutes2626$0
96372Injection of drug or substance under skin or into muscle1815$0
36415Insertion of needle into vein for collection of blood sample1514$0
View full utilization report →

Insurance plans in this area (ZIP 33702)

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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: 0840550562View full group profile
NameSpecialtyState
-FL

Reviews

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Frequently asked questions

What is KELLY OSULLIVAN-STOBBE (PAC MS)'s NPI number?
KELLY OSULLIVAN-STOBBE (PAC MS)'s NPI is 1750372934 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to KELLY OSULLIVAN-STOBBE (PAC MS)?
You should see KELLY OSULLIVAN-STOBBE (PAC MS) as active in CMS-hosted NPPES data.
What area of care is associated with KELLY OSULLIVAN-STOBBE (PAC MS)?
KELLY OSULLIVAN-STOBBE (PAC MS)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with KELLY OSULLIVAN-STOBBE (PAC MS)?
Directory geography for KELLY OSULLIVAN-STOBBE (PAC MS) centers on Saint Petersburg, Florida.
Can I trust this NPI listing for KELLY OSULLIVAN-STOBBE (PAC MS)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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