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DR. KELVIN JAMES WILEY M.D.
NPI 1194810481
Specialist in Jacksonville, FL

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
4201 BELFORT RD, JACKSONVILLE, FL 32216(803) 718-6251 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Kelvin James Wiley M.d. NPPES

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

DR. KELVIN JAMES WILEY M.D. (NPI 1194810481) is an individual specialist in Jacksonville, Florida, licensed in South Carolina (23431) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and maintains a secondary practice location in Daytona Beach.

NPPES Registry Identity

NPI1194810481
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. KELVIN JAMES WILEYCredential: M.D.
Location Address4201 BELFORT RDJacksonville, FL 32216-1431
Mailing Address1650 Margaret St, Ste 302Jacksonville, FL 32204-3868 · (803) 718-6251
Phone(803) 718-6251
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1998
Enumeration DateOctober 4, 2006
Last NPPES UpdateJanuary 12, 2026
NPPES CertifiedJanuary 12, 2026
✔ NPI 1194810481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in SC · 23431
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME111390 (FL)
4201 BELFORT RD, Jacksonville, FL 32216
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Secondary Practice Location 1

Location 1301 Memorial Medical PkwyDaytona Beach, FL 32117-5167 · Phone (386) 231-1090 · Fax (386) 231-1092

Other Identifiers 1

Medicaid234311SC

Accepted Insurance

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

Dr. Kelvin James Wiley M.d. 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 ID3971604638
PECOS Enrollment IDI20121011000564
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.

Medicare Billing Reassignments

8

Medicare enrollment records show Kelvin Wiley reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospital Specialists Inc
6.4 mi
Internal Medicine
800 PRUDENTIAL DR
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 10 clinicians in this Medicare group
NPI 1144265257 (904) 281-0944
St Vincents Ambulatory Care Inc
7.6 mi
Neurological Surgery
2 SHIRCLIFF WAY, SUITE 600
Jacksonville, FL 32204
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: St Vincent's Ambulatory Care Inc
  • 544 clinicians in this Medicare group
NPI 1417987124 (904) 308-6769
Cogent Healthcare Of Jacksonville, LLC
8.1 mi
Internal Medicine
655 W 8TH ST
Jacksonville, FL 32209
  • Reassigned Medicare billing, Florida enrollment
  • 440 clinicians in this Medicare group
NPI 1124252333 (904) 244-3850
Inpatient Consultants Of Florida, Inc
11 mi
Internal Medicine
2001 KINGSLEY AVE
Orange Park, FL 32073
  • Reassigned Medicare billing, Florida enrollment
  • 903 clinicians in this Medicare group
NPI 1396795597 (954) 377-2909
Sound Physicians Of Florida IV, LLC
58 mi
Internal Medicine
60 MEMORIAL MEDICAL PKWY
Palm Coast, FL 32164
  • Reassigned Medicare billing, Florida enrollment
  • 300 clinicians in this Medicare group
NPI 1740633635 (615) 377-5658
Florida Hospital Healthcare Partners, Inc
75 mi
Internal Medicine
301 MEMORIAL MEDICAL PKWY
Daytona Beach, FL 32117
  • Reassigned Medicare billing, Florida enrollment
  • 733 clinicians in this Medicare group
NPI 1780100529 (386) 231-6000
Focus Healthcare PA
82 mi
Internal Medicine
1805 SE LAKE WEIR AVE STE B
Ocala, FL 34471
  • Reassigned Medicare billing, Florida enrollment
  • 35 clinicians in this Medicare group
NPI 1396370318 (352) 867-9601
Sound Physicians Of Florida Vi LLC
294 mi
Internal Medicine
4725 N FEDERAL HWY
Fort Lauderdale, FL 33308
  • Reassigned Medicare billing, Florida enrollment
  • 197 clinicians in this Medicare group
NPI 1417761073 (954) 771-8000

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

Areas of Expertise CMS Part B claims 4

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
217 services208 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
178 services173 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
93 services43 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
21 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100001
Location655 W 8th StJacksonville, FL 32209 · Duval County
Emergency services Birthing friendly

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

Marion Communtiy Hospital

Acute Care Hospitals · Ocala, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100212
Location1431 SW 1st AveOcala, FL 34471 · Marion County
Emergency services

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.

JENNIFER L. MAUZY MD
Emergency Medicine
4201 BELFORT RD
JACKSONVILLE, FL 32216
Duval County (904) 296-3885
ELIZABETH SANTIAGO PHARMD
Pharmacist
4201 BELFORT RD
JACKSONVILLE, FL 32216
Duval County (904) 296-3771
ANDREW BRIAN KIRKLAND
Physician Assistant
4201 BELFORT RD
JACKSONVILLE, FL 32216
Duval County (904) 296-3784
PULMONARY AND CRITICAL CARE ASSOCIATES P A
Internal Medicine (Pulmonary Disease)
4201 BELFORT RD
JACKSONVILLE, FL 32216
Duval County (904) 366-3738
HAYDEN HELLER CRPS
Peer Specialist
4201 BELFORT RD
JACKSONVILLE, FL 32216
Duval County (904) 296-3700
DR. MICHAEL GORDON MAXWELL M.D.
Emergency Medicine
4201 BELFORT RD
JACKSONVILLE, FL 32216
Duval County (904) 296-3700
DR. MAE M COLEMAN MD
Pediatrics (Neonatal-Perinatal Medicine)
4201 BELFORT RD
JACKSONVILLE, FL 32216
Duval County (904) 296-3700
RINA VASILARAKIS PA-C
Physician Assistant
4201 BELFORT RD
JACKSONVILLE, FL 32216
Duval County (904) 296-3700

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 Kelvin Wiley's NPI number?

The NPI number for Kelvin Wiley is 1194810481. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Kelvin Wiley located?

Kelvin Wiley practices at 4201 Belfort Rd, Jacksonville, FL 32216. The listed phone number is (803) 718-6251.

What is Kelvin Wiley's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Kelvin Wiley enrolled in Medicare?

Yes. Kelvin Wiley 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 Kelvin Wiley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelvin Wiley reassigns Medicare benefits to 8 organizations: Hospital Specialists Inc (Jacksonville, FL), St Vincents Ambulatory Care Inc (Jacksonville, FL), Cogent Healthcare Of Jacksonville, LLC (Jacksonville, FL), Inpatient Consultants Of Florida, Inc (Orange Park, FL), Sound Physicians Of Florida IV, LLC (Palm Coast, FL) and 3 more organizations, listed in the Medicare section above. 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 Kelvin Wiley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelvin Wiley accept?

Health plans from AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Kelvin Wiley 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 Kelvin Wiley affiliated with any hospitals?

According to CMS data, Kelvin Wiley is affiliated with Shands Jacksonville, Flagler Hospital and Marion Communtiy Hospital.

When was this NPI record last updated?

The NPPES record for Kelvin Wiley was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.