DR. KELSEY DEIDRICK MD
NPI 1265091391
Internal Medicine in Wilton Manors, FL
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
Specialties & Licenses 2
Secondary Practice Locations 2
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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Kelsey Deidrick reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Lauderdale, FL 33308
- Reassigned Medicare billing, Florida enrollment
- 197 clinicians in this Medicare group
Miami, FL 33126
- Reassigned Medicare billing, Florida enrollment
- 123 clinicians in this Medicare group
St Petersburg, FL 33716
- Reassigned Medicare billing, Florida enrollment
- 440 clinicians in this Medicare group
Shreveport, LA 71105
- Reassigned Medicare billing, Louisiana enrollment
- 6 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.
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.
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, FLPhysician 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.
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.
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.
Which organizations bill Medicare for Kelsey Deidrick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Deidrick reassigns Medicare benefits to 4 organizations: Sound Physicians Of Florida Vi LLC (Fort Lauderdale, FL), Centerwell Senior Primary Care Fl Inc (Miami, FL), Cogent Healthcare Of Jacksonville, LLC (St Petersburg, FL) and Centerwell Senior Primary Care La Cs PC (Shreveport, LA). 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 Kelsey Deidrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Kelsey Deidrick, MD · NPI 1265091391
Internal Medicine physician in Wilton Manors, Florida. Individual provider, active in the CMS NPPES registry since June 12, 2019.
## Identity
- **NPI:** 1265091391 (Entity type: Individual)
- **Enumerated:** June 12, 2019
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 28391 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1402 NE 26TH ST, Wilton Manors, FL 33305-1322
- **Phone:** (954) 563-3767
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Sound Physicians Of Florida Vi LLC (NPI 1417761073, Fort Lauderdale, FL); Centerwell Senior Primary Care Fl Inc (NPI 1295804136, Miami, FL); Cogent Healthcare Of Jacksonville, LLC (NPI 1386215275, St Petersburg, FL); Centerwell Senior Primary Care La Cs PC (NPI 1952196495, Shreveport, LA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Miami, Lm Miller School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** February 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1265091391) · Data from the CMS NPPES public registry.