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KELLEY WISE
NPI 1023656600
Family Medicine in Palm Coast, FL

Active since December 14, 2019PECOS EnrolledAccepts Medicare Assignment
9 PINE CONE DR STE 102, PALM COAST, FL 32137(386) 445-6191 Get Directions Write a Review

NPPES record last updated: February 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 7, 2021, Dec 14, 2019 (2 updates tracked since 2019).

About Kelley Wise NPPES

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

KELLEY WISE (NPI 1023656600) is an individual family medicine provider in Palm Coast, Florida, licensed in Florida (APRN11004755) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Daytona Beach, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1023656600
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKELLEY WISE
Location Address9 PINE CONE DR STE 102Palm Coast, FL 32137-8683
Mailing Address9 Pine Cone Dr Ste 102Palm Coast, FL 32137-8683 · (386) 445-6191
Phone(386) 445-6191
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 14, 2019
Last NPPES UpdateFebruary 7, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2021
✔ NPI 1023656600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · APRN11004755
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9 PINE CONE DR STE 102, Palm Coast, FL 32137
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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

Kelley Wise 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 ID1456577253
PECOS Enrollment IDI20200207000535
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
481 services241 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
161 services161 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
160 services160 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
89 services75 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
41 services12 patients
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes G2011
This service involves a structured assessment, such as AUDIT or DAST, to identify potential misuse of alcohol or substances. If misuse is detected, a brief intervention lasting 5-14 minutes is conducted to provide guidance and support to help manage the issue.
34 services34 patients

Hospital Affiliations CMS Care Compare 3

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

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100068
Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County
Emergency services Birthing friendly

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100118
Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County
Emergency services

Adventhealth Palm Coast Parkway

Acute Care Hospitals · Palm Coast, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100363
Location1 Adventhealth WayPalm Coast, FL 32137 · Flagler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32137 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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier22 claims22 services$3.63 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers13 claims13 services$32.02 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$68.91 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims13 services$31.17 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers13 claims1,500 services$0.09 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers15 claims15 services$24.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

MISS SKYE SAULS
Nurse Practitioner (Family)
9 PINE CONE DR STE 102
PALM COAST, FL 32137
Flagler County (386) 445-6191
F R FRUEHAN FAMILY PRACTICE INC
Family Medicine
9 PINE CONE DR STE 102
PALM COAST, FL 32137
Flagler County (386) 445-6191

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 Kelley Wise's NPI number?

The NPI number for Kelley Wise is 1023656600. It was assigned to this individual provider in the NPPES registry on December 14, 2019.

Where is Kelley Wise located?

Kelley Wise practices at 9 Pine Cone Dr Ste 102, Palm Coast, FL 32137. The listed phone number is (386) 445-6191.

What is Kelley Wise's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kelley Wise enrolled in Medicare?

Yes. Kelley Wise 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.

Is Kelley Wise affiliated with any hospitals?

According to CMS data, Kelley Wise is affiliated with Adventhealth Daytona Beach, Florida Hospital Flagler and Adventhealth Palm Coast Parkway.

When was this NPI record last updated?

The NPPES record for Kelley Wise was last updated on February 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.