KELSIE PHILLIPS – Family Nurse Practitioner, NPI 1033534995

KELSIE PHILLIPS is a healthcare provider. based in Atlanta, Georgia. specializing in NURSE PRACTITIONER. They hold a License No. APRN9223560 (FL). The NPI Number for KELSIE PHILLIPS is 1033534995

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
KELSIE PHILLIPS
NPI
1033534995
Phone
Not provided
Address
PO BOX 116658
Enumeration Date
28 February 2014
Last Update Date
12 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549395000
Graduation Year
2013 (13 years ago)
PAC ID
9931339090
Group Practice PAC ID
6507760543
Professional Enrollment ID
I20230920003219
Address ID
TX775154112AN132XXDRXX400

Contacts

Secure Messaging
kphillips85040@Direct.leememorial.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness95
Years active:12State licenses:3Other names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for KELSIE PHILLIPS

  • PO BOX 116658

    ATLANTA, GA 303686658

    Phone:

    Type: Mailing

  • 636 DEL PRADO BLVD S

    CAPE CORAL, FL 339902668

    Phone: (239) 424-3513

    Type: Location

  • 636 Del Prado Blvd S

    Cape Coral, FL 339902668

    Phone: (239) 424-3513

    Type: Location

  • PO BOX 2147

    FORT MYERS, FL 339022147

    Phone: (239) 424-3660

    Fax: (239) 424-3663

    Type: Mailing

  • 708 DEL PRADO BLVD S STE 7

    CAPE CORAL, FL 339902676

    Phone: (239) 424-3660

    Fax: (239) 424-3663

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-04-20 • Largest payer in this snapshot: Stryker Corporation ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$17
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: 2023-09-20

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
I20140311001387INurse PractitionerFLTBD
I20230920003219INurse PractitionerTXTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3123$0
99285Emergency department visit with high level of medical decision making2626$0
99284Emergency department visit with moderate level of medical decision making2424$0
99214Established patient office or other outpatient visit, 30-39 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 30368)

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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: 6507760543View full group profile

Reviews

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Frequently asked questions

What is the standard ID for KELSIE PHILLIPS in the U.S.?
In the U.S., KELSIE PHILLIPS is identified by NPI 1033534995.
Does the public listing show KELSIE PHILLIPS as active?
KELSIE PHILLIPS's NPI record reflects an active status in NPPES.
What type of care does KELSIE PHILLIPS provide?
KELSIE PHILLIPS's profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KELSIE PHILLIPS?
KELSIE PHILLIPS is associated with Atlanta, Georgia in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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