MS. KELLEY THOMASON PRENTICE (ARNP) – Adult Health Nurse Practitioner, NPI 1821206566

MS. KELLEY THOMASON PRENTICE (ARNP) is a healthcare provider. based in Cape coral, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. 9220789 (FL). The NPI Number for MS. KELLEY THOMASON PRENTICE (ARNP) is 1821206566

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MS. KELLEY THOMASON PRENTICE (ARNP)
NPI
1821206566
Phone
(239) 574-8463
Address
3208 CHIQUITA BLVD S STE 110
Enumeration Date
18 May 2007
Last Update Date
10 November 2025

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
2006 (20 years ago)
PAC ID
5890887947
Group Practice PAC ID
9335672146
Professional Enrollment ID
I20070822000398
Address ID
FL339902676CA708XXSXXX500

Contacts

Secure Messaging
kprentice313359@Direct.leememorial.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness95
Years active:19State licenses:1Other names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MS. KELLEY THOMASON PRENTICE (ARNP)

  • 3208 CHIQUITA BLVD S STE 110

    CAPE CORAL, FL 339144267

    Phone: (239) 574-8463

    Fax: (239) 574-8491

    Type: Mailing

  • 3208 Chiquita Blvd S Ste 110

    Cape Coral, FL 339144267

    Phone: (239) 574-8463

    Fax: (239) 574-8491

    Type: Location

  • 414 CAPE CORAL PKWY E STE 201

    CAPE CORAL, FL 339048522

    Phone: (239) 424-3278

    Fax: (239) 343-4133

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $236.

Total Amount is formed as General ($236) + Research ($0) + Ownership ($0) = $236.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($137).

Total Amount

$236

General + Research + Ownership

Payments

3

Total payment records

General Amount

$236

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2007-08-22

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
I20070822000398INurse PractitionerFLTBD

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 minutes6562$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4230$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report2221$0
View full utilization report →

Insurance plans in this area (ZIP 33914)

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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: 9335672146View full group profile
NameSpecialtyState
Neurology, Nephrology, PsychiatryFL
R H E U M A T O L O G YFL
Nurse PractitionerFL
Critical Care (Intensivists), Pediatric MedicineFL
General SurgeryMI
N E U R O L O G YMO
Cardiovascular Disease (Cardiology)FL
Physician AssistantFL
Medical Genetics And GenomicsMI
Nurse PractitionerFL

Reviews

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Frequently asked questions

What is the registry number for MS. KELLEY THOMASON PRENTICE (ARNP)?
The registry entry for MS. KELLEY THOMASON PRENTICE (ARNP) shows NPI 1821206566.
Quick check: is MS. KELLEY THOMASON PRENTICE (ARNP) active?
Public NPPES data shows MS. KELLEY THOMASON PRENTICE (ARNP) with an active NPI status right now.
What does the directory say MS. KELLEY THOMASON PRENTICE (ARNP) does?
Insurance directories may phrase it differently, but here MS. KELLEY THOMASON PRENTICE (ARNP) maps to Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to MS. KELLEY THOMASON PRENTICE (ARNP)?
MS. KELLEY THOMASON PRENTICE (ARNP) shows a connection to Cape Coral, Florida in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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