KELLIE LEIS ARNP
NPI 1386059798
Nurse Practitioner - Family in Jacksonville, FL

Q: What is Kellie Leis's NPI number?

The NPI number for Kellie Leis is 1386059798. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Q: What is Kellie Leis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kellie Leis was last updated on June 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since June 24, 2014PECOS Enrolled

655 W 8TH ST, JACKSONVILLE, FL 32209(904) 244-0411 Get Directions Write a Review

NPPES record last updated: June 9, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kellie Leis Arnp NPPES

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

KELLIE LEIS ARNP (NPI 1386059798) is an individual family provider in Jacksonville, Florida, licensed in Florida (ARNP9241412) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386059798

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLIE LEISCredential: ARNP

Location Address655 W 8TH STJacksonville, FL 32209-6511

Mailing Address655 W 8th StJacksonville, FL 32209 · (904) 244-0411

Phone(904) 244-0411

Sole ProprietorNo

Enumeration DateJune 24, 2014

Last NPPES UpdateJune 9, 2017

✔ NPI 1386059798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · ARNP9241412

655 W 8TH ST, Jacksonville, FL 32209

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Other Identifiers 4

Medicaid012544100FL

Medicare PINP01450547FL

Medicare PINHW211ZFL

Medicaid003156181AGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kellie Leis Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32209 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 20

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

DR. MATTHEW DUWAIN WARRICK M.D.

Anesthesiology