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KEELY MICHELLE BROZ NP
NPI 1225859267
Nurse Practitioner in Fort Walton Beach, FL

Active since October 22, 2024PECOS EnrolledAccepts Medicare Assignment
320 RACETRACK RD NW STE 100D, FORT WALTON BEACH, FL 32547(448) 202-6100(448) 202-6101 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Keely Michelle Broz Np NPPES

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

KEELY MICHELLE BROZ NP (NPI 1225859267) is an individual nurse practitioner in Fort Walton Beach, Florida, licensed in Florida (APRN11046730) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Deborah Heart And Lung Center, and maintains a secondary practice location in Fort Walton Beach.

NPPES Registry Identity

NPI1225859267
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKEELY MICHELLE BROZCredential: NP
Location Address320 RACETRACK RD NW STE 100DFort Walton Beach, FL 32547-1796
Mailing Address9643 Bone Bluff DrNavarre, FL 32566-2551 · (850) 637-3195
Phone(448) 202-6100
Fax(448) 202-6101
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 22, 2024
Last NPPES UpdateJune 22, 2026
NPPES CertifiedJune 22, 2026
✔ NPI 1225859267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in FL · APRN11046730✔ Licensed in NJ · 26NJ15184000
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
320 RACETRACK RD NW STE 100D, Fort Walton Beach, FL 32547
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Other Names 1

Former Name (1)Keely Harris

Secondary Practice Location 1

Location 11000 Mar Walt DrFort Walton Beach, FL 32547-6708 · Phone (850) 862-1111

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Keely Michelle Broz Np 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 ID9931638251
PECOS Enrollment IDI20250130002863
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

2

Medicare enrollment records show Keely Broz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northwest Florida Multispecialty Physicians LLC
0.5 mi
Neurological Surgery
1032 MAR WALT DR, SUITE 250
Fort Walton Beach, FL 32547
  • Reassigned Medicare billing, Florida enrollment
  • 18 clinicians in this Medicare group
NPI 1790912269 (850) 863-3463
Professional Service Fund Of Deborah Heart & Lung Center
945 mi
Specialist
200 TRENTON RD
Browns Mills, NJ 08015
  • Reassigned Medicare billing, New Jersey enrollment
  • 222 clinicians in this Medicare group
NPI 1407803596 (609) 893-1200

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

Hospital Affiliations CMS Care Compare

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

Deborah Heart And Lung Center

Acute Care Hospitals · Browns Mills, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310031
Location200 Trenton RoadBrowns Mills, NJ 08015 · Burlington County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32547 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

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

DR. JOHN DUDLEY M.D.
Internal Medicine (Interventional Cardiology)
320 RACETRACK RD NW STE 100D
FORT WALTON BEACH, FL 32547
Okaloosa County (448) 202-6100

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 Keely Broz's NPI number?

The NPI number for Keely Broz is 1225859267. It was assigned to this individual provider in the NPPES registry on October 22, 2024. The provider is also known as Keely Harris.

Where is Keely Broz located?

Keely Broz practices at 320 Racetrack Rd NW Ste 100D, Fort Walton Beach, FL 32547. The listed phone number is (448) 202-6100.

What is Keely Broz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Keely Broz enrolled in Medicare?

Yes. Keely Broz 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 Keely Broz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keely Broz reassigns Medicare benefits to 2 organizations: Northwest Florida Multispecialty Physicians LLC (Fort Walton Beach, FL) and Professional Service Fund Of Deborah Heart & Lung Center (Browns Mills, NJ). 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 Keely Broz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keely Broz accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Oscar Health and Oscar Health Maintenance Organization of Florida list Keely Broz 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 Keely Broz affiliated with any hospitals?

According to CMS data, Keely Broz is affiliated with Deborah Heart And Lung Center.

When was this NPI record last updated?

The NPPES record for Keely Broz was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.