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KELLY PEAK
NPI 1528816337
Physician Assistant in Tampa, FL

Active since May 07, 2024PECOS EnrolledAccepts Medicare Assignment
509 N FREMONT AVE UNIT 418, TAMPA, FL 33606(910) 617-2917 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelly Peak NPPES

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

KELLY PEAK (NPI 1528816337) is an individual physician assistant in Tampa, Florida and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Erlanger Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1528816337
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY PEAK
Location Address509 N FREMONT AVE UNIT 418Tampa, FL 33606-1297
Mailing Address509 N Fremont Ave Unit 418Tampa, FL 33606-1297 · (910) 617-2917
Phone(910) 617-2917
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 7, 2024
NPPES CertifiedMay 7, 2024
✔ NPI 1528816337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
509 N FREMONT AVE UNIT 418, Tampa, FL 33606
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Other Names 1

Former Name (1)Kelly Smith

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Kelly Peak 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 ID1153858956
PECOS Enrollment IDI20241218000241
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.

Erlanger Medical Center

Acute Care Hospitals · Chattanooga, TN
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440104
Location975 E 3rd StChattanooga, TN 37403 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33606 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
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Peak's NPI number?

The NPI number for Kelly Peak is 1528816337. It was assigned to this individual provider in the NPPES registry on May 7, 2024. The provider is also known as Kelly Smith.

Where is Kelly Peak located?

Kelly Peak practices at 509 N Fremont Ave Unit 418, Tampa, FL 33606. The listed phone number is (910) 617-2917.

What is Kelly Peak's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelly Peak enrolled in Medicare?

Yes. Kelly Peak 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 Peak accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Kelly Peak 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 Kelly Peak affiliated with any hospitals?

According to CMS data, Kelly Peak is affiliated with Erlanger Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Peak was last updated on May 7, 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.