KELLIE C. PONDER
NPI 1386997476
Occupational Therapist in Merritt Island, FL
About Kellie C. Ponder NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLIE C. PONDER (NPI 1386997476) is an individual occupational therapist in Merritt Island, Florida, licensed in Florida (OT16047) and active in the NPI registry since October 2012.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kellie C. Ponder is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kellie Ponder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Englewood Cliffs, NJ 07632
- Reassigned Medicare billing, Florida enrollment
- 87 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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ponder's NPI number?
The NPI number for Kellie Ponder is 1386997476. It was assigned to this individual provider in the NPPES registry on October 26, 2012. The provider is also known as Kellie Staab.
Where is Kellie Ponder located?
Kellie Ponder practices at 220 N Grove St, Merritt Island, FL 32953. The listed phone number is (814) 227-3590.
What is Kellie Ponder's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Kellie Ponder enrolled in Medicare?
Yes. Kellie Ponder is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kellie Ponder's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Ponder reassigns Medicare benefits to Ap Therapy LLC (Englewood Cliffs, NJ). 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 Kellie Ponder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kellie Ponder accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Kellie Ponder as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kellie Ponder was last updated on June 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.