KETTELIE HENRY ARNP
NPI 1013576511
Nurse Practitioner - Family in Hollywood, FL

Active since June 07, 2019PECOS EnrolledAccepts Medicare Assignment
3800 S OCEAN DR STE 209, HOLLYWOOD, FL 33019(877) 226-8874(877) 366-4776 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 23, 2020, Jun 7, 2019 (2 updates tracked since 2019).

About Kettelie Henry Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETTELIE HENRY ARNP (NPI 1013576511) is an individual family provider in Hollywood, Florida, licensed in Florida (APRN11002547) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Jfk Hospital, and maintains a secondary practice location in West Palm Beach.

NPPES Registry Identity

NPI1013576511
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKETTELIE HENRYCredential: ARNP
Location Address3800 S OCEAN DR STE 209Hollywood, FL 33019-2915
Mailing Address3800 S Ocean Dr Ste 209Hollywood, FL 33019-2915 · (800) 226-8874 · Fax (877) 366-4776
Fax(877) 366-4776
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 7, 2019
Last NPPES UpdateJune 23, 20202 updates tracked since enumeration
NPPES CertifiedJune 23, 2020
NPI 1013576511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · APRN11002547
3800 S OCEAN DR STE 209, Hollywood, FL 33019

Secondary Practice Location 1

Location 1929 Imperial Lake RdWest Palm Beach, FL 33413-1075 · Phone (561) 254-2352

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kettelie Henry Arnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931522893
PECOS Enrollment IDI20200713003012
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida Jfk Hospital

Acute Care Hospitals · Atlantis, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100080
Location5301 S Congress AveAtlantis, FL 33462 · Palm Beach County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33019 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3800 S OCEAN DR STE 209
HOLLYWOOD, FL 33019
Physician Assistant
3800 S OCEAN DR STE 209
HOLLYWOOD, FL 33019
Nurse Practitioner (Family)
3800 S OCEAN DR STE 209
HOLLYWOOD, FL 33019
Nurse Practitioner (Family)
3800 S OCEAN DR STE 209
HOLLYWOOD, FL 33019
Nurse Practitioner (Family)
3800 S OCEAN DR STE 209
HOLLYWOOD, FL 33019
Nurse Practitioner (Family)
3800 S OCEAN DR STE 209
HOLLYWOOD, FL 33019
Nurse Practitioner (Family)
3800 S OCEAN DR STE 209
HOLLYWOOD, FL 33019
Physician Assistant
3800 S OCEAN DR STE 209
HOLLYWOOD, FL 33019

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kettelie Henry's NPI number?

The NPI number for Kettelie Henry is 1013576511. It was assigned to this individual provider in the NPPES registry on June 7, 2019.

Where is Kettelie Henry located?

Kettelie Henry practices at 3800 S Ocean Dr Ste 209, Hollywood, FL 33019. The listed phone number is (877) 226-8874.

What is Kettelie Henry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kettelie Henry enrolled in Medicare?

Yes. Kettelie Henry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kettelie Henry accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Kettelie Henry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kettelie Henry affiliated with any hospitals?

According to CMS data, Kettelie Henry is affiliated with Hca Florida Jfk Hospital.

When was this NPI record last updated?

The NPPES record for Kettelie Henry was last updated on June 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.