KEELY MICHELLE BROZ NP
NPI 1225859267
Nurse Practitioner in Fort Walton Beach, FL
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
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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
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.
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, NJPhysician 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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WALTON BEACH, FL 32547
FORT WALTON BEACH, FL 32547
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.
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 50 days 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.
# Keely Michelle Broz, NP · NPI 1225859267
Nurse Practitioner physician in Fort Walton Beach, Florida. Individual provider, active in the CMS NPPES registry since October 22, 2024.
## Identity
- **NPI:** 1225859267 (Entity type: Individual)
- **Enumerated:** October 22, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** APRN11046730 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 320 RACETRACK RD NW STE 100D, Fort Walton Beach, FL 32547-1796
- **Phone:** (448) 202-6100 · **Fax:** (448) 202-6101
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** June 22, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1225859267) · Data from the CMS NPPES public registry.