KELLY DYLIK (APRN FNP-C) – Family Nurse Practitioner, NPI 1184297103
Family Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for KELLY DYLIK (APRN FNP-C)
112 Maverick Ct
Granbury, TX 760491381
Phone: (888) 731-8994
Type: Location
139 Centre St Ph 120
New York, NY 100134559
Phone: (888) 731-8994
Type: Location
111 N Orange Ave Ste 800
Orlando, FL 328012381
Phone: (888) 731-8994
Type: Location
12101 PALM COVE ST
FORT MYERS, FL 339138724
Phone: (716) 829-9682
Type: Mailing
8931 COLONIAL CENTER DR STE 400
FORT MYERS, FL 339057809
Phone: (239) 334-6626
Type: Location
PO BOX 2147
FORT MYERS, FL 339022147
Phone: (239) 343-2123
Fax: (239) 343-2124
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $600.
Total Amount is formed as General ($600) + Research ($0) + Ownership ($0) = $600.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($160).
Total Amount
$600
General + Research + Ownership
Payments
25
Total payment records
General Amount
$600
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $160 |
| Myriad Genetic Laboratories, Inc. | $123 |
| AstraZeneca Pharmaceuticals LP | $57 |
| ImmunoGen, Inc. | $46 |
| Eisai Inc. | $45 |
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: 2021-09-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210901002116 | I | Nurse Practitioner | FL | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 201 | 21 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 33 | 33 | $0 |
Insurance plans in this area (ZIP 76049)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Surgical Oncology, General Practice | FL |
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