MS. AMBER LEE KELLEY (PA-C) – Physician Assistant, NPI 1982656674
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
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
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $42 |
| Amgen Inc. | $41 |
| PFIZER INC. | $28 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $27 |
| Regeneron Healthcare Solutions, Inc. | $16 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120731000441 | I | Physician Assistant | FL | TBD |
| I20210325000710 | I | Physician Assistant | IN | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 459 | 84 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 304 | 219 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 159 | 124 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 112 | 112 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 110 | 103 | $0 |
Insurance plans in this area (ZIP 33563)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Physician Assistant | VA | |
| - | VA | |
| D E R M A T O L O G Y | TX | |
| - | WI | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | WI | |
| - | WI | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | WA |
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