MS. AMBER LEE KELLEY (PA-C) – Physician Assistant, NPI 1982656674

MS. AMBER LEE KELLEY (PA-C) is a healthcare provider. based in Plant city, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 10000324A (IN). The NPI Number for MS. AMBER LEE KELLEY (PA-C) is 1982656674

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
MS. AMBER LEE KELLEY (PA-C)
NPI
1982656674
Phone
(813) 752-0757
Address
110 SOUTHERN OAKS DR
Enumeration Date
17 May 2006
Last Update Date
6 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8123587705
Graduation Year
1998 (28 years ago)
PAC ID
4486707049
Group Practice PAC ID
3779471701
Professional Enrollment ID
I20210325000710
Address ID
IN472742368SE303XXSTXX400

Contacts

Secure Messaging
Amber.Kelley@forefrontdermatology.emadirect.md
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,499 PHYSICIAN ASSISTANT in IN

Provider Addresses for MS. AMBER LEE KELLEY (PA-C)

  • 110 SOUTHERN OAKS DR

    PLANT CITY, FL 335631446

    Phone: (813) 752-0757

    Fax: (813) 752-0753

    Type: Mailing

  • 801 YORK ST

    MANITOWOC, WI 542204630

    Phone: (920) 663-9008

    Fax: (920) 684-1439

    Type: Mailing

  • 8325 S Emerson Ave Ste C1

    Indianapolis, IN 462378559

    Phone: (317) 780-7400

    Fax: (317) 859-8181

    Type: Location

  • 100 TOWN CENTER RD S STE C

    MOORESVILLE, IN 461582322

    Phone: (317) 834-5466

    Fax: (888) 358-7705

    Type: Location

  • 954 N SAMUEL MOORE PKWY STE C

    MOORESVILLE, IN 461581475

    Phone: (317) 834-5466

    Fax: (317) 584-3794

    Type: Location

  • 2010, Thonotosassa Road, Plant City, Hillsborough County, Florida, 33563, United States

    PLANT CITY, FL 335632941

    Phone: (813) 752-0757

    Fax: (813) 752-0753

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $196.

Total Amount is formed as General ($196) + Research ($0) + Ownership ($0) = $196.

Last reported payment date: 2024-07-26 • Largest payer in this snapshot: Janssen Biotech, Inc. ($42).

Total Amount

$196

General + Research + Ownership

Payments

11

Total payment records

General Amount

$196

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-26

Latest reported date

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: 2021-03-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20120731000441IPhysician AssistantFLTBD
I20210325000710IPhysician AssistantINTBD

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
17003Destruction of precancer skin growth, 2-14 growths45984$0
99213Established patient office or other outpatient visit, 20-29 minutes304219$0
17000Destruction of precancer skin growth, 1 growth159124$0
99203New patient office or other outpatient visit, 30-44 minutes112112$0
11102Biopsy of related skin growth, first growth110103$0
View full utilization report →

Insurance plans in this area (ZIP 33563)

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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: 3779471701View full group profile
NameSpecialtyState
-WI
Physician AssistantVA
-VA
D E R M A T O L O G YTX
-WI
D E R M A T O L O G YAL
D E R M A T O L O G YWI
-WI
Physician AssistantNY
D E R M A T O L O G YWA

Reviews

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Frequently asked questions

Where can patients find MS. AMBER LEE KELLEY (PA-C)'s NPI?
You can confirm MS. AMBER LEE KELLEY (PA-C) with NPI 1982656674; it appears in the national provider directory.
Is MS. AMBER LEE KELLEY (PA-C)'s NPI currently valid?
The extract we use shows MS. AMBER LEE KELLEY (PA-C) as active.
Can you summarize MS. AMBER LEE KELLEY (PA-C)'s specialty in plain language?
Clinically, the directory lists MS. AMBER LEE KELLEY (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MS. AMBER LEE KELLEY (PA-C)'s primary listing?
We display Plant City, Florida because that is what the record indicates for MS. AMBER LEE KELLEY (PA-C).
What if Plant City, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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