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KELLY LO CAA
NPI 1093511479
Anesthesiologist Assistant in West Palm Beach, FL

Active since February 24, 2025Accepts Medicare Assignment
1309 N FLAGLER DR, WEST PALM BEACH, FL 33401(954) 838-2371 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 30, 2026, Feb 24, 2025 (2 updates tracked since 2025).

About Kelly Lo Caa NPPES

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

KELLY LO CAA (NPI 1093511479) is an individual anesthesiologist assistant in West Palm Beach, Florida, licensed in Florida (AA1048) and active in the NPI registry since February 2025. She is affiliated with Good Samaritan Medical Center and is a graduate of Indiana University School Of Medicine (2022).

NPPES Registry Identity

NPI1093511479
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameKELLY LOCredential: CAA
Location Address1309 N FLAGLER DRWest Palm Beach, FL 33401-3406
Mailing Address19060 Talon WayJupiter, FL 33458-2446 · (317) 410-6612
Phone(954) 838-2371
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2022
Enumeration DateFebruary 24, 2025
Last NPPES UpdateApril 30, 20262 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
✔ NPI 1093511479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in FL · AA1048
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
1309 N FLAGLER DR, West Palm Beach, FL 33401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Lo Caa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800310970
PECOS Enrollment IDI20250410000719

Medicare Billing Reassignments

2

Medicare enrollment records show Kelly Lo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sheridan Healthcorp Inc
1.6 mi
Anesthesiology
1309 N FLAGLER DR
West Palm Beach, FL 33401
  • Reassigned Medicare billing, Florida enrollment
  • 1,973 clinicians in this Medicare group
NPI 1275105710 (877) 328-1119
Jupiter Anesthesia Associates LLC
13 mi
Anesthesiology
224 CHIMNEY CORNER LN STE 1022
Jupiter, FL 33458
  • Reassigned Medicare billing, Florida enrollment
  • 207 clinicians in this Medicare group
NPI 1003581398 (954) 939-5000

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Good Samaritan Medical Center

Acute Care Hospitals · West Palm Beach, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100287
Location1309 N Flagler DrWest Palm Beach, FL 33401 · Palm Beach County
Emergency services Birthing friendly

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.

CARLA FAZIO APRN
Nurse Practitioner
1309 N FLAGLER DR
WEST PALM BEACH, FL 33401
Palm Beach County (561) 366-4100
LAZARA LUCIA SANCHEZ APRN
Nurse Practitioner (Family)
1309 N FLAGLER DR
WEST PALM BEACH, FL 33401
Palm Beach County (561) 366-4100
INTERVENTIONAL REHABILITATION OF SOUTH FLORIDA, INC
Anesthesiology (Pain Medicine)
1309 N FLAGLER DR
WEST PALM BEACH, FL 33401
Palm Beach County (877) 328-1119
NIKHIL RAMAIYA MD
Radiology (Diagnostic Radiology)
1309 N FLAGLER DR
WEST PALM BEACH, FL 33401
Palm Beach County (561) 366-4100
SURGIASSIST
Registered Nurse (Registered Nurse First Assistant)
1309 N FLAGLER DR
WEST PALM BEACH, FL 33401
Palm Beach County (866) 931-4777
FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
Internal Medicine (Hematology & Oncology)
1309 N FLAGLER DR
WEST PALM BEACH, FL 33401
Palm Beach County (561) 366-4100
CARRIE CHRISTIE
Registered Nurse (Emergency)
1309 N FLAGLER DR
WEST PALM BEACH, FL 33401
Palm Beach County (561) 676-5726
MRS. ANTOINETTE STAIR FNP-C
Nurse Practitioner (Family)
1309 N FLAGLER DR
WEST PALM BEACH, FL 33401
Palm Beach County (561) 472-1272

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 Lo's NPI number?

The NPI number for Kelly Lo is 1093511479. It was assigned to this individual provider in the NPPES registry on February 24, 2025.

Where is Kelly Lo located?

Kelly Lo practices at 1309 N Flagler Dr, West Palm Beach, FL 33401. The listed phone number is (954) 838-2371.

What is Kelly Lo's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Kelly Lo enrolled in Medicare?

Yes. Kelly Lo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kelly Lo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Lo reassigns Medicare benefits to 2 organizations: Sheridan Healthcorp Inc (West Palm Beach, FL) and Jupiter Anesthesia Associates LLC (Jupiter, FL). 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 Lo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Lo accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Kelly Lo 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.

Is Kelly Lo affiliated with any hospitals?

According to CMS data, Kelly Lo is affiliated with Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Lo was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.