KELLY MARIE SUMMERS ARNP
NPI 1023531043
Nurse Practitioner in Jacksonville, FL

Active since July 21, 2017PECOS Enrolled
807 CHILDRENS WAY, JACKSONVILLE, FL 32207(904) 697-3600 Get Directions Write a Review

NPPES record last updated: October 13, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Marie Summers Arnp NPPES

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

KELLY MARIE SUMMERS ARNP (NPI 1023531043) is an individual nurse practitioner in Jacksonville, Florida, licensed in Florida (ARNP9311879) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023531043
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLY MARIE SUMMERSCredential: ARNP
Location Address807 CHILDRENS WAYJacksonville, FL 32207-8426
Mailing Address10140 Centurion Pkwy NJacksonville, FL 32256-0532
Sole ProprietorNo
Enumeration DateJuly 21, 2017
Last NPPES UpdateOctober 13, 2017
NPI 1023531043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in FL · ARNP9311879
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedPediatrics · Pediatric GastroenterologyTaxonomy 2080P0206X · License ARNP9311879 (FL)
807 CHILDRENS WAY, Jacksonville, FL 32207

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelly Marie Summers Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Physician Assistant
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Physician Assistant
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE
JACKSONVILLE, FL 32207
Pharmacist
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Otolaryngology (Pediatric Otolaryngology)
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE
JACKSONVILLE, FL 32207
Nurse Practitioner
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Speech-Language Pathologist
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Pharmacy (Community/Retail Pharmacy)
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Nurse Practitioner
807 CHILDRENS WAY
JACKSONVILLE, FL 32207

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 Kelly Summers's NPI number?

The NPI number for Kelly Summers is 1023531043. It was assigned to this individual provider in the NPPES registry on July 21, 2017.

Where is Kelly Summers located?

Kelly Summers practices at 807 Childrens Way, Jacksonville, FL 32207. The listed phone number is (904) 697-3600.

What is Kelly Summers's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kelly Summers enrolled in Medicare?

Yes. Kelly Summers is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Summers was last updated on October 13, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.