KELLY GASSIE (MD) – Neurological Surgery Physician, NPI 1962899351

KELLY GASSIE (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in NEUROSURGERY. They hold the professional credentials MD. They hold a License No. ME129537 (FL). The NPI Number for KELLY GASSIE (MD) is 1962899351

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KELLY GASSIE (MD)
NPI
1962899351
Phone
Not provided
Address
4500 SAN PABLO RD S
Enumeration Date
23 April 2015
Last Update Date
12 September 2023

Doctor Profile

Medical School Name
EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Secondary Phone
3214347000
Graduation Year
2015 (11 years ago)
PAC ID
1951616739
Group Practice PAC ID
9537229646
Professional Enrollment ID
I20230714002192
Address ID
FL329013224ME1350XSTXX300
Telehealth
Yes

Contacts

Secure Messaging
kgassie391021@ehrdirect.mayoclinicmsg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

567 NEUROSURGERY in FL

Provider Addresses for KELLY GASSIE (MD)

  • 4500 SAN PABLO RD S

    JACKSONVILLE, FL 322241865

    Phone:

    Type: Mailing

  • 3300 S FISKE BLVD

    ROCKLEDGE, FL 329554306

    Phone: (321) 434-3420

    Type: Mailing

  • 1251 HICKORY ST

    MELBOURNE, FL 329013221

    Phone: (321) 434-3420

    Fax: (321) 434-3423

    Type: Location

  • 1350 Hickory St

    Melbourne, FL 329013224

    Phone: (321) 434-3420

    Fax: (321) 434-3423

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $5,787.

Total Amount is formed as General ($5,787) + Research ($0) + Ownership ($0) = $5,787.

Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Alphatec Spine, Inc ($3,276).

Total Amount

$5,787

General + Research + Ownership

Payments

30

Total payment records

General Amount

$5,787

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-01

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: 2023-07-14

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
I20230714002192INeurosurgeryFLTBD

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
99203New patient office or other outpatient visit, 30-44 minutes4848$0
99213Established patient office or other outpatient visit, 20-29 minutes3023$0
99214Established patient office or other outpatient visit, 30-39 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 32224)

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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: 9537229646View full group profile
NameSpecialtyState
Nurse PractitionerFL
Physician AssistantFL
O T O L A R Y N G O L O G YFL
General Surgery, Critical Care (Intensivists)AZ
General SurgeryFL
Physician AssistantFL
Nurse PractitionerFL
Physician AssistantFL
General SurgeryFL
Orthopedic Surgery, Sports MedicineFL

Reviews

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Frequently asked questions

Where can patients find KELLY GASSIE (MD)'s NPI?
You can confirm KELLY GASSIE (MD) with NPI 1962899351; it appears in the national provider directory.
Is KELLY GASSIE (MD) currently active in the NPI registry?
CMS-published data lists KELLY GASSIE (MD) as an active registrant.
Can you summarize KELLY GASSIE (MD)'s specialty in plain language?
Clinically, the directory lists KELLY GASSIE (MD) with Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for KELLY GASSIE (MD)?
We surface Jacksonville, Florida for KELLY GASSIE (MD) based on available NPPES addresses.
What if Jacksonville, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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