CHARLIE N KELLY ARNP-BC
NPI 1144663758
Nurse Practitioner - Women's Health in Panama City, FL
About Charlie N Kelly Arnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLIE N KELLY ARNP-BC (NPI 1144663758) is an individual women's health provider in Panama City, Florida, licensed in Florida (9266192) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Charlie N Kelly Arnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Charlie Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Panama City Beach, FL 32408
- Reassigned Medicare billing, Florida enrollment
- 2 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 32405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Charlie Kelly's NPI number?
The NPI number for Charlie Kelly is 1144663758. It was assigned to this individual provider in the NPPES registry on April 12, 2013.
Where is Charlie Kelly located?
Charlie Kelly practices at 70 Doctors Dr, Panama City, FL 32405. The listed phone number is (850) 785-1517.
What is Charlie Kelly's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.
Is Charlie Kelly enrolled in Medicare?
Yes. Charlie Kelly is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Charlie Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charlie Kelly reassigns Medicare benefits to New Way Med Spa, LLC (Panama City 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 Charlie Kelly'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 Charlie Kelly was last updated on January 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Charlie N Kelly, ARNP-BC · NPI 1144663758
Women's Health physician in Panama City, Florida. Individual provider, active in the CMS NPPES registry since April 12, 2013.
## Identity
- **NPI:** 1144663758 (Entity type: Individual)
- **Enumerated:** April 12, 2013
- **Primary specialty:** Nurse Practitioner - Women's Health · taxonomy 363LW0102X
- **State license:** 9266192 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 70 DOCTORS DR, Panama City, FL 32405-4517
- **Phone:** (850) 785-1517
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** New Way Med Spa, LLC (NPI 1164319349, Panama City Beach, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 23, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1144663758) · Data from the CMS NPPES public registry.