AMY SUE KELLEY MD
NPI 1033153069
Emergency Medicine in Orange City, FL

Q: What is Amy Kelley's NPI number?

The NPI number for Amy Kelley is 1033153069. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Q: What is Amy Kelley's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Kelley was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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 June 16, 2006PECOS EnrolledAccepts Medicare Assignment

1055 SAXON BLVD, ORANGE CITY, FL 32763(386) 943-4522 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2026, Dec 3, 2025 (2 updates tracked since 2025).

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About Amy Sue Kelley Md NPPES

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

AMY SUE KELLEY MD (NPI 1033153069) is an individual emergency medicine provider in Orange City, Florida, licensed in Florida (ME92613) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Fish Memorial, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1033153069

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameAMY SUE KELLEYCredential: MD

Location Address1055 SAXON BLVDOrange City, FL 32763-8468

Mailing AddressPo Box 9430Daytona Beach, FL 32120-9430

Phone(386) 943-4522

Sole ProprietorNo

Medical School CMSUniversity Of Florida College Of MedicineGraduated 2001

Enumeration DateJune 16, 2006

Last NPPES UpdateMarch 6, 20262 updates tracked since enumeration

NPPES CertifiedMarch 6, 2026

✔ NPI 1033153069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in FL · ME92613✔ Licensed in IL · 036177677

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1055 SAXON BLVD, Orange City, FL 32763

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Secondary Practice Locations 4

Location 12 S Hospital DrMurphysboro, IL 62966-3333 · Phone (618) 684-3156 ext. 55620 · Fax (618) 529-0524

Location 2405 W Jackson StCarbondale, IL 62901-1462 · Phone (618) 549-0721 ext. 65150 · Fax (618) 457-0469

Location 3201 S 14th StHerrin, IL 62948-3631 · Phone (618) 942-2171 ext. 35130 · Fax (618) 351-4917

Location 4100 Dr Warren Tuttle DrHarrisburg, IL 62946-2718 · Phone (618) 253-0350 · Fax (618) 252-2425

Other Identifiers 2

Other16102FL · Blue Cross

Medicaid272046900FL

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

Amy Sue Kelley Md 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 ID8921083189

PECOS Enrollment IDI20070621000007, I20260129002056

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 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

226 services218 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

189 services178 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

72 services71 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

29 services29 patients

Hospital Affiliations CMS Care Compare 3

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

Adventhealth Fish Memorial

Acute Care Hospitals · Orange City, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100072

Location1055 Saxon BlvdOrange City, FL 32763 · Volusia County

Emergency services Birthing friendly

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140164

Location405 W JacksonCarbondale, IL 62901 · Jackson County

Emergency services Birthing friendly

Harrisburg Medical Center

Acute Care Hospitals · Harrisburg, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140210

Location100 Doctor Warren Tuttle DrHarrisburg, IL 62946 · Saline County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32763 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.

PEDRO N. YEPES-HOYOS M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

1055 SAXON BLVD, DEPT. OF PATHOLOGY
ORANGE CITY, FL 32763

Volusia County (386) 851-5000

MRS. TASHA NAOMI BRICKHOUSE RDN, LD/N

Dietitian, Registered