DR. KELSEY DEIDRICK MD
NPI 1265091391
Internal Medicine in Wilton Manors, FL

Active since June 12, 2019PECOS EnrolledAccepts Medicare Assignment
1402 NE 26TH ST, WILTON MANORS, FL 33305(954) 563-3767 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 30, 2019, Jul 26, 2019, Jun 12, 2019 (3 updates tracked since 2019).

About Dr. Kelsey Deidrick Md NPPES

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

DR. KELSEY DEIDRICK MD (NPI 1265091391) is an individual internal medicine provider in Wilton Manors, Florida, licensed in Florida (28391) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265091391
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KELSEY DEIDRICKCredential: MD
Location Address1402 NE 26TH STWilton Manors, FL 33305-1322
Mailing Address11500 Nw 6th StPlantation, FL 33325-1902 · (954) 812-5303
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2019
Enumeration DateJune 12, 2019
Last NPPES UpdateFebruary 12, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2026
NPI 1265091391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · 28391
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1402 NE 26TH ST, Wilton Manors, FL 33305

Secondary Practice Locations 2

Location 14725 N Federal HwyFort Lauderdale, FL 33308-4668 · Phone (954) 938-3359
Location 2360 Douglas AveAltamonte Springs, FL 32714-3335 · Phone (850) 304-7986

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. Kelsey Deidrick Md 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 ID2961730528
PECOS Enrollment IDI20221117000006
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
404 services199 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.
232 services225 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.
210 services122 patients
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.
89 services87 patients

Hospital Affiliations CMS Care Compare

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

Holy Cross Hospital

Acute Care Hospitals · Fort Lauderdale, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100073
Location4725 N Federal HwyFort Lauderdale, FL 33308 · Broward County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33305 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 5

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

Family Medicine
1402 NE 26TH ST
WILTON MANORS, FL 33305
Internal Medicine
1402 NE 26TH ST
WILTON MANORS, FL 33305
Internal Medicine
1402 NE 26TH ST
WILTON MANORS, FL 33305
Family Medicine
1402 NE 26TH ST
WILTON MANORS, FL 33305
Internal Medicine (Pulmonary Disease)
1402 NE 26TH ST, MEDICAL MULTI SPECIALTY GRP
WILTON MANORS, FL 33305

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 Kelsey Deidrick's NPI number?

The NPI number for Kelsey Deidrick is 1265091391. It was assigned to this individual provider in the NPPES registry on June 12, 2019.

Where is Kelsey Deidrick located?

Kelsey Deidrick practices at 1402 NE 26th St, Wilton Manors, FL 33305. The listed phone number is (954) 563-3767.

What is Kelsey Deidrick's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kelsey Deidrick enrolled in Medicare?

Yes. Kelsey Deidrick 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 Kelsey Deidrick affiliated with any hospitals?

According to CMS data, Kelsey Deidrick is affiliated with Holy Cross Hospital.

When was this NPI record last updated?

The NPPES record for Kelsey Deidrick was last updated on February 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.