KELLY JO DYSON (M.A., CCC-A) – Audiologist, NPI 1861666315

KELLY JO DYSON (M.A., CCC-A) is a healthcare provider. based in Largo, Florida. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials M.A., CCC-A. They hold a License No. AY906 (FL). The NPI Number for KELLY JO DYSON (M.A., CCC-A) is 1861666315

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
KELLY JO DYSON (M.A., CCC-A)
NPI
1861666315
Phone
(727) 977-5222
Address
11200 SEMINOLE BLVD STE 301
Enumeration Date
16 April 2008
Last Update Date
27 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7277911368
Graduation Year
2008 (18 years ago)
PAC ID
1153499777
Group Practice PAC ID
0941260103
Professional Enrollment ID
I20081009000594
Address ID
FL337612013CL3190XRDXX506
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

519 QUALIFIED AUDIOLOGIST in FL

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Provider Addresses for KELLY JO DYSON (M.A., CCC-A)

  • 301, Seminole Boulevard, Largo, Pinellas County, Florida, 33770, United States

    LARGO, FL 337783240

    Phone: (727) 977-5222

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-10-09

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
I20081009000594IQualified AudiologistFLTBD

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
92557Comprehensive hearing and speech recognition test447444$0
92567Test to assess middle ear function430428$0
92588Placement of ear probe for computerized measurement of repeated sounds with interpretation and report8888$0
View full utilization report →

Insurance plans in this area (ZIP 33778)

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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: 0941260103View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YFL
O T O L A R Y N G O L O G YFL
Otolaryngology, Plastic And Reconstructive SurgeryFL
O T O L A R Y N G O L O G YFL
Physician AssistantFL
O T O L A R Y N G O L O G YFL
O T O L A R Y N G O L O G YFL
-FL
O T O L A R Y N G O L O G YFL
O T O L A R Y N G O L O G YFL

Reviews

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Frequently asked questions

What NPI should I save for KELLY JO DYSON (M.A., CCC-A)?
Save NPI 1861666315 if you need a stable reference for KELLY JO DYSON (M.A., CCC-A).
Is KELLY JO DYSON (M.A., CCC-A)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does KELLY JO DYSON (M.A., CCC-A) list a primary specialty?
If you are matching referrals, note Audiologist for KELLY JO DYSON (M.A., CCC-A). Clinical services aligned with this taxonomy classification.
Where is KELLY JO DYSON (M.A., CCC-A)'s primary listing?
We display Largo, Florida because that is what the record indicates for KELLY JO DYSON (M.A., CCC-A).
What if Largo, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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