Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since April 01, 2021PECOS Enrolled
11215 METRO PKWY, BLDG. 3, STE 1, FORT MYERS, FL 33966(239) 208-2212 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 21, 2026, Aug 11, 2026, Aug 3, 2026 and 5 more (8 updates tracked since 2021).

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 Fort Myers, Florida, licensed in Florida (ME173242) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Florida International Univ, College Of Medicine (2021).

NPPES Registry Identity

NPI1083292874
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameKELLY NGUYENCredential: MD
Location Address11215 METRO PKWY, BLDG. 3, STE 1Fort Myers, FL 33966-1206
Mailing Address11215 Metro Pkwy, Bldg. 3, Ste 1Fort Myers, FL 33966 · (239) 208-2212
Sole ProprietorNo
Medical School CMSFlorida International Univ, College Of MedicineGraduated 2021
Enumeration DateApril 1, 2021
Last NPPES UpdateOctober 21, 20268 updates tracked since enumeration
NPPES CertifiedOctober 21, 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
Licenses✔ Licensed in FL · ME173242✔ Licensed in TX · W8063✔ Licensed in AZ · 80726✔ 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)
11215 METRO PKWY, Fort Myers, FL 33966

Secondary Practice Locations 4

Location 12400 S Avenue AYuma, AZ 85364-7127 · Phone (928) 344-2000
Location 29981 S Healthpark DrFort Myers, FL 33908-3618 · Phone (239) 343-2052 ext. 32052
Location 3630 Eaton AveHamilton, OH 45013-2767 · Phone (513) 867-2000 · Fax (513) 867-2119
Location 417 Davis Blvd Ste 308Tampa, FL 33606-3438 · Phone (813) 974-2201

Other Identifiers 1

Medicaid131804700FL

Accepted Insurance

Medicare Participation & PECOS CMS

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

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, I20260617000553, I20260818000124, I20260826001761
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 Reassignments

13

Medicare enrollment records show Kelly Nguyen reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurology
11215 METRO PKWAY, BLDG. 3, STE 1
Fort Myers, FL 33966
  • Reassigned Medicare billing, Florida enrollment
  • 26 clinicians in this Medicare group
Internal Medicine
9981 S HEALTHPARK DR
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,899 clinicians in this Medicare group
Long Term Care Hospital
1500 LEE BLVD FL 3
Lehigh Acres, FL 33936
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Nchmd Inc
  • 808 clinicians in this Medicare group
Specialist
900 NORTH ROBERT AVENUE
Arcadia, FL 34266
  • Reassigned Medicare billing, Florida enrollment
  • 39 clinicians in this Medicare group
Neurology
830 S GLOSTER ST
Tupelo, MS 38801
  • Reassigned Medicare billing, Florida enrollment
  • 12 clinicians in this Medicare group
Internal Medicine
2413 RING RD STE 100
Elizabethtown, KY 42701
  • Reassigned Medicare billing, Kentucky enrollment
  • 967 clinicians in this Medicare group
Orthopaedic Surgery
1 PRESTIGE PL, SUITE 910
Miamisburg, OH 45342
  • Reassigned Medicare billing, Ohio enrollment
  • 984 clinicians in this Medicare group
Psychiatric Unit
1000 N. VILLAGE AVENUE
Rockville Centre, NY 11571
  • Reassigned Medicare billing, New York enrollment
  • 266 clinicians in this Medicare group
Specialist
4295 HEMPSTEAD TPKE
Bethpage, NY 11714
  • Reassigned Medicare billing, New York enrollment
  • 211 clinicians in this Medicare group
General Acute Care Hospital
1000 MONTAUK HWY
West Islip, NY 11795
  • Reassigned Medicare billing, New York enrollment
  • 395 clinicians in this Medicare group

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 33966 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 9

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

Psychiatry & Neurology (Psychiatry)
11215 METRO PKWY, BLDG. 3, STE 1
FORT MYERS, FL 33966
Nurse Practitioner (Adult Health)
11215 METRO PKWY
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY, BLDG. 3, STE 1
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY, BLDG. 3, STE 1
FORT MYERS, FL 33966
Nurse Practitioner (Family)
11215 METRO PKWY, HEALTH CLINIC
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY, BLDG. 3, STE 1
FORT MYERS, FL 33966
Psychiatry & Neurology (Psychiatry)
11215 METRO PKWY, BLDG. 3, STE 1
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY, BLDG. 3, STE 1
FORT MYERS, FL 33966

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 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.

Where is Kelly Nguyen located?

Kelly Nguyen practices at 11215 Metro Pkwy Bldg. 3, Ste 1, Fort Myers, FL 33966. The listed phone number is (239) 208-2212.

What is Kelly Nguyen's specialty?

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

Is Kelly Nguyen enrolled in Medicare?

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

Which organizations bill Medicare for Kelly Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Nguyen reassigns Medicare benefits to 13 organizations: Virtual Neurology, LLC (Fort Myers, FL), Lee Health System Inc (Fort Myers, FL), Landmark Hospital Of Southwest Florida, LLC (Lehigh Acres, FL), Dchd Health Care Professionals LLC (Arcadia, FL), North Mississippi Medical Center Inc. (Tupelo, MS) and 8 more organizations, listed in the Medicare section above. Each 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 Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Nguyen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Ambetter from Superior HealthPlan and 8 other insurers list Kelly Nguyen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Nguyen was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.