Kelly Holton, - Medicare Nurse Practitioner in Tampa, FL

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Kelly Holton, is a medicare enrolled "Nurse Practitioner" physician in Tampa, Florida. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc and her current practice location is 12902 Usf Magnolia Dr, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 745-4673.

Kelly Holton is licensed to practice in Florida (license number 9310510) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760890685.

Contact Information

Kelly Holton,
12902 Usf Magnolia Dr,
Tampa, FL 33612-9416
(813) 745-4673
Not Available

Map and Direction




Physician's Profile

Full NameKelly Holton
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location12902 Usf Magnolia Dr, Tampa, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Holton graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1760890685
  • Provider Enumeration Date: 07/23/2014
  • Last Update Date: 01/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9537481478
  • Enrollment ID: I20161012000686

Medical Identifiers

Medical identifiers for Kelly Holton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760890685NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 9310510 (Florida)Secondary
363L00000XNurse Practitioner 9310510 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tampa General HospitalTampa, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc2264337021936

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Holton allows following entities to bill medicare on her behalf.
Entity NameH Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306833595
PECOS PAC ID: 2264337021
Enrollment ID: O20031204000575
Entity NameFlorida Kidney Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760831564
PECOS PAC ID: 4385925650
Enrollment ID: O20161228000460

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Holton is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Holton,
Po Box 198441,
Atlanta, GA 30384-8441

Ph: () -		Kelly Holton,
12902 Usf Magnolia Dr,
Tampa, FL 33612-9416

Ph: (813) 745-4673

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.