COREEN KELLY – Nurse Practitioner, NPI 1790319994
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for COREEN KELLY
1862 SILVER FERN RD
PORT ORANGE, FL 321286741
Phone: (518) 409-3502
Type: Mailing
1430 MASON AVE
DAYTONA BEACH, FL 321174551
Phone: (386) 274-2000
Fax: (386) 274-2009
Type: Location
701 W PLYMOUTH AVE
DELAND, FL 327203236
Phone: (518) 409-3502
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $258.
Total Amount is formed as General ($258) + Research ($0) + Ownership ($0) = $258.
Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Nevro Corp. ($158).
Total Amount
$258
General + Research + Ownership
Payments
13
Total payment records
General Amount
$258
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Nevro Corp. | $158 |
| Collegium Pharmaceutical, Inc. | $25 |
| Averitas Pharma Inc. | $22 |
| Curonix LLC | $19 |
| SCILEX PHARMACEUTICALS INC. | $19 |
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: 2022-09-26
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 |
|---|---|---|---|---|
| I20220926003034 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 440 | 119 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 18 | 12 | $0 |
Insurance plans in this area (ZIP 32128)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL | |
| Family Practice | FL | |
| Pain Management, Interventional Pain Management, Anesthesiology, Interventional Pain Management, Pain Management, Anesthesiology | DE | |
| Physical Medicine And Rehabilitation, Interventional Pain Management, Pain Management | FL |
Reviews
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