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MISS KELLY MARIE ANDERSON APRN, PMHNP-BC
NPI 1396251054
Nurse Practitioner - Psychiatric/Mental Health in Jacksonville, FL

Active since December 18, 2017PECOS EnrolledAccepts Medicare Assignment
4500 SALISBURY RD STE 420, JACKSONVILLE, FL 32216(904) 800-6116(904) 337-4724 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Nov 13, 2023, Nov 6, 2023, Jul 24, 2021 and 1 more (4 updates tracked since 2017).

About Miss Kelly Marie Anderson Aprn, Pmhnp-bc NPPES

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

MISS KELLY MARIE ANDERSON APRN, PMHNP-BC (NPI 1396251054) is an individual psychiatric/mental health provider in Jacksonville, Florida, licensed in Florida (APRN11014261) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1396251054
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMISS KELLY MARIE ANDERSONCredential: APRN, PMHNP-BC
Location Address4500 SALISBURY RD STE 420Jacksonville, FL 32216-0959
Mailing Address7014 San Jose BlvdJacksonville, FL 32217-3422 · (904) 904-0690
Phone(904) 800-6116
Fax(904) 337-4724
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 18, 2017
Last NPPES UpdateNovember 13, 20234 updates tracked since enumeration
NPPES CertifiedNovember 8, 2023
✔ NPI 1396251054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · APRN11014261
4500 SALISBURY RD STE 420, Jacksonville, FL 32216
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

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

Miss Kelly Marie Anderson Aprn, Pmhnp-bc 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 ID648674002
PECOS Enrollment IDI20210806000826
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 32216 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

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

DR. LUBNA MORALES-ATALLAH PSYD
Clinical Neuropsychologist
4500 SALISBURY RD STE 420
JACKSONVILLE, FL 32216
Duval County (904) 800-6116

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 Anderson's NPI number?

The NPI number for Kelly Anderson is 1396251054. It was assigned to this individual provider in the NPPES registry on December 18, 2017.

Where is Kelly Anderson located?

Kelly Anderson practices at 4500 Salisbury Rd Ste 420, Jacksonville, FL 32216. The listed phone number is (904) 800-6116.

What is Kelly Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kelly Anderson enrolled in Medicare?

Yes. Kelly Anderson 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.

What insurance does Kelly Anderson accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Kelly Anderson 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 Kelly Anderson was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.