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KALEY PUCKETT APRN
NPI 1053081901
Nurse Practitioner - Family in Winter Haven, FL

Active since September 14, 2021PECOS Enrolled
435 2ND ST NE, WINTER HAVEN, FL 33881(863) 333-5723 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kaley Puckett Aprn NPPES

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

KALEY PUCKETT APRN (NPI 1053081901) is an individual family provider in Winter Haven, Florida, licensed in Florida (11015299) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053081901
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKALEY PUCKETTCredential: APRN
Location Address435 2ND ST NEWinter Haven, FL 33881-4103
Mailing Address412 Cypress CvWinter Haven, FL 33884-2509 · (863) 289-7376
Phone(863) 333-5723
Sole ProprietorNo
Enumeration DateSeptember 14, 2021
NPPES CertifiedSeptember 14, 2021
✔ NPI 1053081901 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 · 11015299
435 2ND ST NE, Winter Haven, FL 33881
Open in Google Maps ↗

Other Names 1

Former Name (1)Kaley Thorp

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaley Puckett Aprn 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 Kaley Puckett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Central Florida Infectious Diseases LLC
1.1 mi
Infectious Disease
200 AVENUE F SW
Winter Haven, FL 33880
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group
NPI 1457590721 (863) 293-1121

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 33881 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 6

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

MRS. LELIA C GRAY ARNP
Nurse Practitioner
435 2ND ST NE
WINTER HAVEN, FL 33881
Polk County (863) 299-4567
KINDER CLINIC, P.A.
Clinic/Center (Primary Care)
435 2ND ST NE
WINTER HAVEN, FL 33881
Polk County (863) 299-4567
DIVERSITY HEALTHCARE 'LLC'
Pharmacy (Community/Retail Pharmacy)
435 2ND ST NE
WINTER HAVEN, FL 33881
Polk County (863) 419-4422
DIVERSITY HEALTHCARE 'LLC'
Nurse Practitioner (Primary Care)
435 2ND ST NE
WINTER HAVEN, FL 33881
Polk County (863) 419-4422
DR. HEATHER SAMMONS WHITWORTH MD
General Practice
435 2ND ST NE, NEMOURS CHILDRENS PRIMARY CARE, KINDER CLINIC
WINTER HAVEN, FL 33881
Polk County (863) 299-4567
DR. JOSEF S. KLEINE MD
General Practice
435 2ND ST NE, NEMOURS CHILDRENS PRIMARY CARE, KINDER CLINIC
WINTER HAVEN, FL 33881
Polk County (863) 299-4567

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 Kaley Puckett's NPI number?

The NPI number for Kaley Puckett is 1053081901. It was assigned to this individual provider in the NPPES registry on September 14, 2021. The provider is also known as Kaley Thorp.

Where is Kaley Puckett located?

Kaley Puckett practices at 435 2nd St NE, Winter Haven, FL 33881. The listed phone number is (863) 333-5723.

What is Kaley Puckett's specialty?

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

Is Kaley Puckett enrolled in Medicare?

Yes. Kaley Puckett is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kaley Puckett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaley Puckett reassigns Medicare benefits to Central Florida Infectious Diseases LLC (Winter Haven, 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 Kaley Puckett'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 Kaley Puckett was last updated on September 14, 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.