KELLY DANIELS (ARNP) – Family Nurse Practitioner, NPI 1982869178

KELLY DANIELS (ARNP) is a healthcare provider. based in Orange park, Florida. specializing in Family Nurse Practitioner. They hold the professional credentials ARNP. They hold a License No. APRN1579822 (FL). The NPI Number for KELLY DANIELS (ARNP) is 1982869178

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
KELLY DANIELS (ARNP)
NPI
1982869178
Phone
(904) 213-0600
Address
2140 KINGSLEY AVE
Enumeration Date
28 July 2008
Last Update Date
22 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9046021000
Graduation Year
2003 (23 years ago)
PAC ID
1254490410
Group Practice PAC ID
3971417684
Professional Enrollment ID
I20081104000147
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for KELLY DANIELS (ARNP)

  • 2140, Kingsley Avenue, Orange Park, Clay County, Florida, 32073, United States

    ORANGE PARK, FL 320735180

    Phone: (904) 213-0600

    Fax: (904) 213-0652

    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: 2008-11-04

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
I20081104000147INurse 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
99285Emergency department visit with high level of medical decision making4948$0
99284Emergency department visit with moderate level of medical decision making3636$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2321$0
99291Critical care, first 30-74 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 32073)

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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: 3971417684View full group profile

Reviews

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Frequently asked questions

What is the registry number for KELLY DANIELS (ARNP)?
The registry entry for KELLY DANIELS (ARNP) shows NPI 1982869178.
Is KELLY DANIELS (ARNP) currently accepting referrals based on NPI status?
Registry metadata lists KELLY DANIELS (ARNP) as active.
What does the directory say KELLY DANIELS (ARNP) does?
Insurance directories may phrase it differently, but here KELLY DANIELS (ARNP) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to KELLY DANIELS (ARNP)?
The directory associates KELLY DANIELS (ARNP) with Orange Park, Florida. Check all listed addresses for suites or satellite offices.
Why is information missing for KELLY DANIELS (ARNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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