NICHOLAS JOSEPH KELLY MD
NPI 1164955183
Emergency Medicine in Jacksonville, FL

Active since April 06, 2017PECOS EnrolledAccepts Medicare Assignment
91.11/100
CMS Quality Rating
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 9, 2024, May 26, 2021 (2 updates tracked since 2021).

About Nicholas Joseph Kelly Md NPPES

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

NICHOLAS JOSEPH KELLY MD (NPI 1164955183) is an individual emergency medicine provider in Jacksonville, Florida, licensed in Florida (ME167209) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic, and maintains a secondary practice location in Denver.

NPPES Registry Identity

NPI1164955183
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameNICHOLAS JOSEPH KELLYCredential: MD
Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865
Mailing Address4500 San Pablo Rd SJacksonville, FL 32224-1865 · (904) 953-2000
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2017
Enumeration DateApril 6, 2017
Last NPPES UpdateJuly 9, 20242 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
NPI 1164955183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in FL · ME167209 Licensed in CO · DR.0066498
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

4500 SAN PABLO RD S, Jacksonville, FL 32224

Secondary Practice Location 1

Location 1777 Bannock StDenver, CO 80204-4597 · Phone (303) 602-5183

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicholas Joseph Kelly Md 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 ID143620468
PECOS Enrollment IDI20240604002394
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
142 services141 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
38 services27 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Mayo Clinic

Acute Care Hospitals · Jacksonville, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100151
Location4500 San Pablo RdJacksonville, FL 32224 · Duval County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32224 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.

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.

91.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.23
Promoting Interoperability88
Improvement Activities40
Cost73.49

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.

Social Worker (Clinical)
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Nurse Anesthetist, Certified Registered
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Emergency Medicine
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Colon & Rectal Surgery
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Internal Medicine (Critical Care Medicine)
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Family Medicine
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164955183, enumerated as an "individual" on April 06, 2017.

The provider is located at 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 and the phone number is (904) 953-2000.

Emergency Medicine with taxonomy code 207P00000X.

Nicholas Kelly is affiliated with: MAYO CLINIC.