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KELLY JEAN PARKER APRN
NPI 1154949246
Nurse Practitioner - Women's Health in Clermont, FL

Active since July 06, 2020PECOS Enrolled
15630 SAUSALITO CIR, CLERMONT, FL 34711(352) 242-6443 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 10, 2023, Jul 6, 2020 (2 updates tracked since 2020).

About Kelly Jean Parker Aprn NPPES

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

KELLY JEAN PARKER APRN (NPI 1154949246) is an individual women's health provider in Clermont, Florida, licensed in Florida (APRN11011524) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154949246
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameKELLY JEAN PARKERCredential: APRN
Location Address15630 SAUSALITO CIRClermont, FL 34711-9668
Mailing Address15630 Sausalito CirClermont, FL 34711-9668 · (352) 242-6443
Phone(352) 242-6443
Sole ProprietorYes
Enumeration DateJuly 6, 2020
Last NPPES UpdateMay 10, 20232 updates tracked since enumeration
NPPES CertifiedMay 10, 2023
✔ NPI 1154949246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in FL · APRN11011524
Also ListedRegistered NurseTaxonomy 163W00000X · License RN2740692 (FL)
15630 SAUSALITO CIR, Clermont, FL 34711
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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 Jean Parker Aprn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34711 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.

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 Parker's NPI number?

The NPI number for Kelly Parker is 1154949246. It was assigned to this individual provider in the NPPES registry on July 6, 2020.

Where is Kelly Parker located?

Kelly Parker practices at 15630 Sausalito Cir, Clermont, FL 34711. The listed phone number is (352) 242-6443.

What is Kelly Parker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Kelly Parker enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kelly Parker was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.