Kelli M Tyson, ARNP - Medicare Nurse Practitioner in Jacksonville, FL

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Kelli M Tyson, ARNP is a medicare enrolled "Nurse Practitioner" in Jacksonville, Florida. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cogent Healthcare Of Jacksonville, Llc, Mobile Visiting Practitioners, Llc and her current practice location is 3550 University Blvd. S., Ste 302, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 733-4444.

Kelli M Tyson is licensed to practice in Florida (license number ARNP9229212) 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 1801304357.

Contact Information

Kelli M Tyson, ARNP
3550 University Blvd. S., Ste 302,
Jacksonville, FL 32216
(904) 733-4444
(904) 733-5377

Map and Direction




Provider's Profile

Full NameKelli M Tyson
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location3550 University Blvd. S., Jacksonville, 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:
  • Kelli M Tyson graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1801304357
  • Provider Enumeration Date: 01/18/2018
  • Last Update Date: 01/18/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2860722451
  • Enrollment ID: I20190925000073

Medical Identifiers

Medical identifiers for Kelli M Tyson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801304357NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner ARNP9229212 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Trilogy Home HealthcareJacksonville, FLHome health agency
Florida First Care IncOrange park, FLHome health agency
Nurse On CallDaytona beach, FLHome health agency
Brooks Rehabilitation Home HealthJacksonville, FLHome health agency
Vitas Healthcare Corporation Of FloridaMelbourne, FLHospice
Community Hospice Of Northeast Florida IncJacksonville, FLHospice
Flagler HospitalSaint augustine, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cogent Healthcare Of Jacksonville, Llc1759435944121
Mobile Visiting Practitioners, Llc78102391007

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. Kelli M Tyson allows following entities to bill medicare on her behalf.
Entity NameFirst City Hospitalists Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003053695
PECOS PAC ID: 4587720701
Enrollment ID: O20090312000497
Entity NameCogent Healthcare Of Jacksonville, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124252333
PECOS PAC ID: 1759435944
Enrollment ID: O20090824000043
Entity NameSound Physicians Of Florida Iv, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740633635
PECOS PAC ID: 6002198082
Enrollment ID: O20170127000352
Entity NameMobile Visiting Practitioners, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265915359
PECOS PAC ID: 7810239100
Enrollment ID: O20190507002879

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. Kelli M Tyson 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
Kelli M Tyson, ARNP
3550 University Blvd. S., Ste 302,
Jacksonville, FL 32216

Ph: (904) 733-4444		Kelli M Tyson, ARNP
3550 University Blvd. S., Ste 302,
Jacksonville, FL 32216

Ph: (904) 733-4444

Reviews and Comments


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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.