Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KELLY NGUYEN MD
NPI 1083292874
Psychiatry & Neurology - Neurology in Tampa, FL

Q: What is Kelly Nguyen's NPI number?

The NPI number for Kelly Nguyen is 1083292874. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Q: What is Kelly Nguyen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Nguyen was last updated on July 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 01, 2021PECOS Enrolled

17 DAVIS BLVD STE 308, TAMPA, FL 33606(813) 974-2201 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 20, 2026, Jun 2, 2026, May 26, 2026 and 1 more (4 updates tracked since 2021).

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About Kelly Nguyen Md NPPES

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

KELLY NGUYEN MD (NPI 1083292874) is an individual neurology provider in Tampa, Florida, licensed in Ohio (35.156182) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1083292874

Entity TypeIndividualFemale

Primary Taxonomy2084N0400X

Provider Legal NameKELLY NGUYENCredential: MD

Location Address17 DAVIS BLVD STE 308Tampa, FL 33606-3438

Mailing Address17 Davis Blvd Ste 308Tampa, FL 33606-3438

Phone(813) 974-2201

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 1, 2021

Last NPPES UpdateJuly 20, 20264 updates tracked since enumeration

NPPES CertifiedJuly 20, 2026

✔ NPI 1083292874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in OH · 35.156182

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedHospitalistTaxonomy 208M00000X · License ME173242 (FL)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

17 DAVIS BLVD STE 308, Tampa, FL 33606

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Secondary Practice Locations 3

Location 1630 Eaton AveHamilton, OH 45013-2767 · Phone (513) 867-2000 · Fax (513) 867-2119

Location 211215 Metro Pkwy Ste 1Fort Myers, FL 33966-1206 · Phone (239) 208-2212

Location 39981 S Healthpark DrFort Myers, FL 33908-3618 · Phone (239) 343-2052 ext. 32052

Other Identifiers 1

Medicaid131804700FL

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 Nguyen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537639109

PECOS Enrollment IDI20260525000148, I20260612000800, I20260612001262

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 33606 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

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.

MARISOL GOMEZ MD

Student in an Organized Health Care Education/Training Program