KETTLY DARIUS NP
NPI 1073589735
Nurse Practitioner - Adult Health in Tampa, FL

Q: What is Kettly Darius's NPI number?

The NPI number for Kettly Darius is 1073589735. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Q: What is Kettly Darius's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Kettly Darius was last updated on April 18, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 23, 2006PECOS Enrolled

13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612(813) 972-2000 Get Directions Write a Review

NPPES record last updated: April 18, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kettly Darius Np NPPES

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

KETTLY DARIUS NP (NPI 1073589735) is an individual adult health provider in Tampa, Florida, licensed in Florida (3147832) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073589735

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameKETTLY DARIUSCredential: NP

Location Address13000 BRUCE B DOWNS BLVDTampa, FL 33612-4745

Mailing Address13000 Bruce B Downs BlvdTampa, FL 33612-4745 · (813) 972-2000

Phone(813) 972-2000

Sole ProprietorNo

Enumeration DateFebruary 23, 2006

Last NPPES UpdateApril 18, 2012

✔ NPI 1073589735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in FL · 3147832

13000 BRUCE B DOWNS BLVD, Tampa, FL 33612

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Other Identifiers 3

Medicaid305584100FL

Medicare ID-Type UnspecifiedU0919XFL

Medicare UPINP92544FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kettly Darius Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33612 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.