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KELLY RENEE PAETH APRN
NPI 1043770803
Nurse Practitioner - Family in Altamonte Springs, FL

Active since March 20, 2019PECOS Enrolled
106 BOSTON AVE STE 205, ALTAMONTE SPRINGS, FL 32701(407) 212-9532 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 1, 2024, Jun 11, 2019, Mar 20, 2019 (3 updates tracked since 2019).

About Kelly Renee Paeth Aprn NPPES

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

KELLY RENEE PAETH APRN (NPI 1043770803) is an individual family provider in Altamonte Springs, Florida, licensed in Florida (11001821) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1043770803
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY RENEE PAETHCredential: APRN
Location Address106 BOSTON AVE STE 205Altamonte Springs, FL 32701-4712
Mailing Address1511 Legacy Club DrMaitland, FL 32751-7528 · (407) 455-0404
Phone(407) 212-9532
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 20, 2019
Last NPPES UpdateOctober 1, 20243 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
✔ NPI 1043770803 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 · 11001821
106 BOSTON AVE STE 205, Altamonte Springs, FL 32701
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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 (PECOS)

Kelly Renee Paeth Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395235931
PECOS Enrollment IDI20251103003536, I20251108000524
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 32701 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.

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 Paeth's NPI number?

The NPI number for Kelly Paeth is 1043770803. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Kelly Paeth located?

Kelly Paeth practices at 106 Boston Ave Ste 205, Altamonte Springs, FL 32701. The listed phone number is (407) 212-9532.

What is Kelly Paeth's specialty?

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

Is Kelly Paeth enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelly Paeth was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.