Carolyn Kelly, ARNP - Medicare Nurse Practitioner in St Petersburg, FL

Carolyn Kelly, ARNP is a medicare enrolled "Nurse Practitioner - Neonatal, Critical Care" in St Petersburg, Florida. Her current practice location is 801 6th St S, St Petersburg, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 767-4871.

Carolyn Kelly is licensed to practice in Florida (license number ARNP3003172) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1912174913.

Contact Information

Carolyn Kelly, ARNP
801 6th St S,
St Petersburg, FL 33701-4816
(727) 767-4871
Not Available

Map and Direction




Provider's Profile

Full NameCarolyn Kelly
GenderFemale
SpecialityNurse Practitioner - Neonatal, Critical Care
Location801 6th St S, St Petersburg, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912174913
  • Provider Enumeration Date: 05/09/2008
  • Last Update Date: 05/09/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 7719241504
  • Enrollment ID: I20180502001662

Medical Identifiers

Medical identifiers for Carolyn Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912174913NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LN0005XNurse Practitioner - Neonatal, Critical Care ARNP3003172 (Florida)Primary

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. Carolyn Kelly allows following entities to bill medicare on her behalf.
Entity NamePediatric Physician Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770532798
PECOS PAC ID: 7113989849
Enrollment ID: O20041103001044
Entity NameWest Coast Neonatology, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225085715
PECOS PAC ID: 0446387641
Enrollment ID: O20100420000612

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. Carolyn Kelly 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
Carolyn Kelly, ARNP
801 6th St S,
St Petersburg, FL 33701-4816

Ph: (727) 767-4871
Carolyn Kelly, ARNP
801 6th St S,
St Petersburg, FL 33701-4816

Ph: (727) 767-4871

Reviews and Comments


Nurse Practitioner Nurses in St Petersburg, FL

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Phone: 727-767-3318    Fax: 727-767-8002
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Practice Location: 1600 Dr Martin Luther King Jr St N, St Petersburg, FL 33704
Phone: 727-456-0750    Fax: 727-456-0751
Mrs. Shanna Ann Sherman, ARNP
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Medicare: Medicare Enrolled
Practice Location: 601 5th St S, Suite 605, St Petersburg, FL 33701
Phone: 727-822-4300    Fax: 727-456-1399

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.