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KELLY S KIAH D.N.P.
NPI 1083055016
Nurse Practitioner - Family in Port Orange, FL

Active since July 06, 2013PECOS Enrolled
3800 WOODBRIAR TRL, PORT ORANGE, FL 32129(386) 322-4752 Get Directions Write a Review

NPPES record last updated: January 17, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly S Kiah D.n.p. NPPES

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

KELLY S KIAH D.N.P. (NPI 1083055016) is an individual family provider in Port Orange, Florida, licensed in Florida (ARNP 9180473) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083055016
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY S KIAHCredential: D.N.P.
Location Address3800 WOODBRIAR TRLPort Orange, FL 32129-9626
Mailing Address3800 Woodbriar TrlPort Orange, FL 32129-9626 · (386) 322-4752
Phone(386) 322-4752
Sole ProprietorNo
Enumeration DateJuly 6, 2013
Last NPPES UpdateJanuary 17, 2014
✔ NPI 1083055016 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 · ARNP 9180473
3800 WOODBRIAR TRL, Port Orange, FL 32129
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly S Kiah D.n.p. 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 Kelly Kiah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Halifax Healthcare Systems Inc
5.6 mi
Family Medicine
303 N CLYDE MORRIS BLVD
Daytona Beach, FL 32114
  • Reassigned Medicare billing, Florida enrollment
  • 786 clinicians in this Medicare group
NPI 1245283530 (386) 254-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
81 services35 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
46 services20 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
29 services29 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
27 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32129 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 3

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

DR. RAUL L ZIMMERMAN MD
Family Medicine (Hospice and Palliative Medicine)
3800 WOODBRIAR TRL
PORT ORANGE, FL 32129
Volusia County (386) 425-8720
HALIFAX HOSPICE INC
Hospice Care, Community Based
3800 WOODBRIAR TRL
PORT ORANGE, FL 32129
Volusia County (386) 425-4701
DR. JOHN BUNNELL M.D.
Family Medicine (Hospice and Palliative Medicine)
3800 WOODBRIAR TRL
PORT ORANGE, FL 32129
Volusia County (386) 322-4752

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 Kiah's NPI number?

The NPI number for Kelly Kiah is 1083055016. It was assigned to this individual provider in the NPPES registry on July 6, 2013.

Where is Kelly Kiah located?

Kelly Kiah practices at 3800 Woodbriar Trl, Port Orange, FL 32129. The listed phone number is (386) 322-4752.

What is Kelly Kiah's specialty?

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

Is Kelly Kiah enrolled in Medicare?

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

Which organization bills Medicare for Kelly Kiah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Kiah reassigns Medicare benefits to Halifax Healthcare Systems Inc (Daytona Beach, 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 Kelly Kiah'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 Kelly Kiah was last updated on January 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.