MR. FRED A KELLY II ARNP
NPI 1407399470
Nurse Practitioner - Family in Maitland, FL
About Mr. Fred A Kelly Ii Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. FRED A KELLY II ARNP (NPI 1407399470) is an individual family provider in Maitland, Florida, licensed in Florida (ARNP9366837) and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Mr. Fred A Kelly Ii Arnp 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
3Medicare enrollment records show Fred Kelly reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Orlando, FL 32803
- Reassigned Medicare billing, Florida enrollment
- 619 clinicians in this Medicare group
Orange Park, FL 32073
- Reassigned Medicare billing, Florida enrollment
- 903 clinicians in this Medicare group
Circle, MT 59215
- Reassigned Medicare billing, Montana enrollment
- Also billed through NPI 1740464916 (Montana)
- 19 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
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Billings Clinic
Acute Care Hospitals · Billings, MTMccone County Health Center
Critical Access Hospitals · Circle, MTGlendive Medical Center
Critical Access Hospitals · Glendive, MTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32751 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Fred Kelly's NPI number?
The NPI number for Fred Kelly is 1407399470. It was assigned to this individual provider in the NPPES registry on November 23, 2016.
Where is Fred Kelly located?
Fred Kelly practices at 500 Winderley Pl #115, Maitland, FL 32751. The listed phone number is (407) 952-5705.
What is Fred Kelly's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Fred Kelly enrolled in Medicare?
Yes. Fred Kelly 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 Fred Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Fred Kelly reassigns Medicare benefits to 3 organizations: Florida Emergency Physicians Kang And Associates MD LLC (Orlando, FL), Inpatient Consultants Of Florida, Inc (Orange Park, FL) and Mccone County Health Center, Inc. (Circle, MT). 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 Fred Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Fred Kelly accept?
Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Fred Kelly 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.
Is Fred Kelly affiliated with any hospitals?
According to CMS data, Fred Kelly is affiliated with Billings Clinic, Mccone County Health Center and Glendive Medical Center.
When was this NPI record last updated?
The NPPES record for Fred Kelly was last updated on January 31, 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.
# Mr. Fred A Kelly II, ARNP · NPI 1407399470
Family physician in Maitland, Florida. Individual provider, active in the CMS NPPES registry since November 23, 2016.
## Identity
- **NPI:** 1407399470 (Entity type: Individual)
- **Enumerated:** November 23, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** ARNP9366837 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 500 WINDERLEY PL #115, Maitland, FL 32751
- **Phone:** (407) 952-5705
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Florida Emergency Physicians Kang And Associates MD LLC (NPI 1811983752, Orlando, FL); Inpatient Consultants Of Florida, Inc (NPI 1396795597, Orange Park, FL); Mccone County Health Center, Inc. (NPI 1790803369, Circle, MT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** January 31, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1407399470) · Data from the CMS NPPES public registry.