MR. SHAWN DEMIAN KELLY APRN
NPI 1174831093
Nurse Practitioner - Family in Daytona Beach, FL

Active since September 14, 2010PECOS EnrolledAccepts Medicare Assignment
1667 N CLYDE MORRIS BLVD STE 2, DAYTONA BEACH, FL 32117(386) 274-1414 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Shawn Demian Kelly Aprn NPPES

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

MR. SHAWN DEMIAN KELLY APRN (NPI 1174831093) is an individual family provider in Daytona Beach, Florida, licensed in Florida (APRN9431397) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, is affiliated with Adventhealth New Smyrna Beach, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (2010).

NPPES Registry Identity

NPI1174831093
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. SHAWN DEMIAN KELLYCredential: APRN
Location Address1667 N CLYDE MORRIS BLVD STE 2Daytona Beach, FL 32117-5500
Mailing Address1667 N Clyde Morris Blvd Ste 2Daytona Beach, FL 32117-5500 · (386) 274-1414
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 2010
Enumeration DateSeptember 14, 2010
Last NPPES UpdateJanuary 26, 2024
NPPES CertifiedJanuary 26, 2024
NPI 1174831093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · APRN9431397
1667 N CLYDE MORRIS BLVD STE 2, Daytona Beach, FL 32117

Accepted Insurance

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

Mr. Shawn Demian Kelly Aprn 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 ID3779723655
PECOS Enrollment IDI20240129001494
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 2

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

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
56 services56 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Adventhealth New Smyrna Beach

Acute Care Hospitals · New Smyrna Beach, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100014
Location401 Palmetto StNew Smyrna Beach, FL 32170 · Volusia County
Emergency services

Halifax Health Medical Center

Acute Care Hospitals · Daytona Beach, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100017
Location303 N Clyde Morris BlvdDaytona Beach, FL 32114 · Volusia County
Emergency services Birthing friendly

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100068
Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County
Emergency services Birthing friendly

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100118
Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County
Emergency services

Adventhealth Palm Coast Parkway

Acute Care Hospitals · Palm Coast, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100363
Location1 Adventhealth WayPalm Coast, FL 32137 · Flagler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32117 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.

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Family)
1667 N CLYDE MORRIS BLVD STE 2
DAYTONA BEACH, FL 32117
Nurse Practitioner (Family)
1667 N CLYDE MORRIS BLVD STE 2
DAYTONA BEACH, FL 32117
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1667 N CLYDE MORRIS BLVD STE 2
DAYTONA BEACH, FL 32117
Radiologic Technologist (Sonography)
1667 N CLYDE MORRIS BLVD STE 2
DAYTONA BEACH, FL 32117
Nurse Practitioner
1667 N CLYDE MORRIS BLVD STE 2
DAYTONA BEACH, FL 32117
Nurse Practitioner (Family)
1667 N CLYDE MORRIS BLVD STE 2
DAYTONA BEACH, FL 32117
Nurse Practitioner (Family)
1667 N CLYDE MORRIS BLVD STE 2
DAYTONA BEACH, FL 32117

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 Shawn Kelly's NPI number?

The NPI number for Shawn Kelly is 1174831093. It was assigned to this individual provider in the NPPES registry on September 14, 2010.

Where is Shawn Kelly located?

Shawn Kelly practices at 1667 N Clyde Morris Blvd Ste 2, Daytona Beach, FL 32117. The listed phone number is (386) 274-1414.

What is Shawn Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shawn Kelly enrolled in Medicare?

Yes. Shawn Kelly 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.

What insurance does Shawn Kelly accept?

Health plans from Ambetter Health and Ambetter of Alabama list Shawn Kelly 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 Shawn Kelly affiliated with any hospitals?

According to CMS data, Shawn Kelly is affiliated with Adventhealth New Smyrna Beach, Halifax Health Medical Center, Adventhealth Daytona Beach, Florida Hospital Flagler and Adventhealth Palm Coast Parkway.

When was this NPI record last updated?

The NPPES record for Shawn Kelly was last updated on January 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.