KELLI NOELLE CHAVIANO (D.O.) – Pediatric Rehabilitation Medicine Physician, NPI 1750795209

KELLI NOELLE CHAVIANO (D.O.) is a healthcare provider. based in Tallahassee, Florida. specializing in PHYSICAL MEDICINE AND REHABILITATION, PEDIATRIC MEDICINE. They hold the professional credentials D.O.. They hold a License No. DO.2901 (AL). The NPI Number for KELLI NOELLE CHAVIANO (D.O.) is 1750795209

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
KELLI NOELLE CHAVIANO (D.O.)
NPI
1750795209
Phone
(850) 545-9386
Address
1766 SAN DAMIAN RD
Enumeration Date
12 June 2014
Last Update Date
9 January 2023

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2059759925
Graduation Year
2014 (12 years ago)
PAC ID
3678998002
Group Practice PAC ID
1951213107
Professional Enrollment ID
I20220613000544
Address ID
AL352331711BI1600XSXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

565 PHYSICAL MEDICINE AND REHABILITATION in MI

Provider Addresses for KELLI NOELLE CHAVIANO (D.O.)

  • 1766 SAN DAMIAN RD

    TALLAHASSEE, FL 323032602

    Phone: (850) 545-9386

    Type: Mailing

  • 1215 E MICHIGAN AVE

    LANSING, MI 489121811

    Phone: (850) 545-9386

    Type: Location

  • 200 Oslo Cir

    Birmingham, AL 352115937

    Phone: (205) 944-3944

    Fax: (205) 316-7675

    Type: Location

  • 1600 7TH AVE S

    BIRMINGHAM, AL 352331711

    Phone: (205) 638-9790

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $99.

Total Amount is formed as General ($99) + Research ($0) + Ownership ($0) = $99.

Last reported payment date: 2023-09-11 • Largest payer in this snapshot: Ipsen Biopharmaceuticals, Inc ($99).

Total Amount

$99

General + Research + Ownership

Payments

1

Total payment records

General Amount

$99

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-11

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: 2022-06-13

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
I20220613000544IPhysical Medicine And RehabilitationALTBD

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 32303)

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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: 1951213107View full group profile
NameSpecialtyState
N E P H R O L O G YTX
-AL
A N E S T H E S I O L O G YAL
E N D O C R I N O L O G YVA
Nurse PractitionerAL
-AL
Hospitalist, Internal MedicineAL
Clinical PsychologistAL
Nurse PractitionerAL
-AL

Reviews

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Frequently asked questions

What is the registry number for KELLI NOELLE CHAVIANO (D.O.)?
The registry entry for KELLI NOELLE CHAVIANO (D.O.) shows NPI 1750795209.
Quick check: is KELLI NOELLE CHAVIANO (D.O.) active?
Public NPPES data shows KELLI NOELLE CHAVIANO (D.O.) with an active NPI status right now.
What does the directory say KELLI NOELLE CHAVIANO (D.O.) does?
Insurance directories may phrase it differently, but here KELLI NOELLE CHAVIANO (D.O.) maps to Pediatric Rehabilitation Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KELLI NOELLE CHAVIANO (D.O.)?
KELLI NOELLE CHAVIANO (D.O.) is associated with Tallahassee, Florida in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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