VASILJANA STATHI KELLY FNP
NPI 1417723164
Nurse Practitioner - Family in Orange Park, FL

Q: What is Vasiljana Kelly's NPI number?

The NPI number for Vasiljana Kelly is 1417723164. It was assigned to this individual provider in the NPPES registry on December 4, 2023.

Q: What is Vasiljana Kelly'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 Vasiljana Kelly was last updated on August 3, 2024. 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.

Active since December 04, 2023PECOS EnrolledAccepts Medicare Assignment

906 BLANDING BLVD, ORANGE PARK, FL 32065(904) 213-4444 Get Directions Write a Review

NPPES record last updated: August 3, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 3, 2024, Dec 4, 2023 (2 updates tracked since 2023).

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About Vasiljana Stathi Kelly Fnp NPPES

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

VASILJANA STATHI KELLY FNP (NPI 1417723164) is an individual family provider in Orange Park, Florida, licensed in Florida (11030279) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1417723164

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameVASILJANA STATHI KELLYCredential: FNP

Location Address906 BLANDING BLVDOrange Park, FL 32065-6206

Mailing AddressPo Box 600145St Johns, FL 32260-0145 · (904) 887-3424

Phone(904) 213-4444

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateDecember 4, 2023

Last NPPES UpdateAugust 3, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 21, 2024

✔ NPI 1417723164 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 · 11030279

906 BLANDING BLVD, Orange Park, FL 32065

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Oscar Health Maintenance Organization of Florida.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

Vasiljana Stathi Kelly Fnp 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 ID4486188992

PECOS Enrollment IDI20241106002675

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32065 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 8

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

CHRISTIN BAGLEY

Nurse Practitioner (Family)