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

Q: 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.

Q: What is Kelly Summers's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Summers was last updated on October 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: November 01, 2026.

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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

Phone(904) 697-3600

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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Summers reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Nemours Foundation

Same address

Multi-Specialty

807 CHILDRENS WAY
Jacksonville, FL 32207

Reassigned Medicare billing, Florida enrollment
703 clinicians in this Medicare group

NPI 1265585806 (904) 697-3600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. KENNETH FRANZ-JOSEPH HEARN MD

Pediatrics

807 CHILDRENS WAY
JACKSONVILLE, FL 32207

Duval County (904) 697-3600

MR. HUGH E. GRIFFENKRANZ PA-C

Physician Assistant

807 CHILDRENS WAY
JACKSONVILLE, FL 32207

Duval County (904) 390-3737

JACQUELINE M NOE

Physician Assistant

807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE
JACKSONVILLE, FL 32207

Duval County (904) 697-3600

ERIC P. SHERLIN R.PH

Pharmacist

807 CHILDRENS WAY
JACKSONVILLE, FL 32207

Duval County (904) 390-3601

ROBERT C SPRECHER MD

Otolaryngology (Pediatric Otolaryngology)

807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE
JACKSONVILLE, FL 32207

Duval County (904) 697-3694

DR. DOREEN RADJENOVIC ARNP

Nurse Practitioner

807 CHILDRENS WAY
JACKSONVILLE, FL 32207

Duval County (904) 390-3759

GRACE ELIZABETH ALLEMAN SLP

Speech-Language Pathologist

807 CHILDRENS WAY
JACKSONVILLE, FL 32207

Duval County (907) 697-3600

FAITH COSGROVE MS, CGC

Genetic Counselor, MS

807 CHILDRENS WAY
JACKSONVILLE, FL 32207

Duval County (904) 697-3600

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.

Which organization bills Medicare for Kelly Summers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Summers reassigns Medicare benefits to The Nemours Foundation (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Summers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Summers was last updated on October 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.