DR. KELLY ELIZABETH KANE DC
NPI 1265057392
Chiropractor in Port St Lucie, FL
About Dr. Kelly Elizabeth Kane Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KELLY ELIZABETH KANE DC (NPI 1265057392) is an individual chiropractor in Port St Lucie, Florida, licensed in Florida (CH13758) and active in the NPI registry since June 2020.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kelly Elizabeth Kane Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Kane reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Palm City, FL 34990
- Reassigned Medicare billing, Florida enrollment
- 18 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORT SAINT LUCIE, FL 34984
PORT ST LUCIE, FL 34984
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 Kelly Kane's NPI number?
The NPI number for Kelly Kane is 1265057392. It was assigned to this individual provider in the NPPES registry on June 15, 2020.
Where is Kelly Kane located?
Kelly Kane practices at 621 SE Port St Lucie Blvd, Port St Lucie, FL 34984. The listed phone number is (772) 879-8080.
What is Kelly Kane's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Kelly Kane enrolled in Medicare?
Yes. Kelly Kane is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelly Kane's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Kane reassigns Medicare benefits to Back In Action Medical Center LLC (Palm City, FL). The 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 Kelly Kane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelly Kane was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Kelly Elizabeth Kane, DC · NPI 1265057392
Chiropractor provider in Port St Lucie, Florida. Individual provider, active in the CMS NPPES registry since June 15, 2020.
## Identity
- **NPI:** 1265057392 (Entity type: Individual)
- **Enumerated:** June 15, 2020
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** CH13758 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 621 SE PORT ST LUCIE BLVD, Port St Lucie, FL 34984-5141
- **Phone:** (772) 879-8080 · **Fax:** (772) 879-5808
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Back In Action Medical Center LLC (NPI 1093183733, Palm City, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 23, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1265057392) · Data from the CMS NPPES public registry.