DR. KELLIE MARLYN MUNIZ M.D.
NPI 1245256403
General Practice in Deltona, FL

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
1235 PROVIDENCE BLVD STE G, DELTONA, FL 32725(386) 473-1940(386) 473-1961 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 8, 2025, Oct 20, 2020 (2 updates tracked since 2020).

About Dr. Kellie Marlyn Muniz M.d. NPPES

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

DR. KELLIE MARLYN MUNIZ M.D. (NPI 1245256403) is an individual general practice provider in Deltona, Florida, licensed in Florida (ACN1284) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1245256403
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. KELLIE MARLYN MUNIZCredential: M.D.
Location Address1235 PROVIDENCE BLVD STE GDeltona, FL 32725-7363
Mailing Address601 S Harbour Island Blvd Ste 200Tampa, FL 33602-5925 · (800) 480-5243 · Fax (800) 928-7449
Fax(386) 473-1961
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 14, 2006
Last NPPES UpdateApril 8, 20252 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
NPI 1245256403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in FL · ACN1284
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1235 PROVIDENCE BLVD STE G, Deltona, FL 32725

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

Dr. Kellie Marlyn Muniz 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 ID1456420298
PECOS Enrollment IDI20201022000701
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
46 services20 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
28 services13 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
17 services14 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
16 services16 patients
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.
15 services15 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients

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 Kellie Muniz's NPI number?

The NPI number for Kellie Muniz is 1245256403. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Kellie Muniz located?

Kellie Muniz practices at 1235 Providence Blvd Ste G, Deltona, FL 32725. The listed phone number is (386) 473-1940.

What is Kellie Muniz's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Kellie Muniz enrolled in Medicare?

Yes. Kellie Muniz 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.

When was this NPI record last updated?

The NPPES record for Kellie Muniz was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.