KELLYE MARIE KOUBEK APRN
NPI 1659080125
Nurse Practitioner - Gerontology in Miami, FL

Q: What is Kellye Koubek's NPI number?

The NPI number for Kellye Koubek is 1659080125. It was assigned to this individual provider in the NPPES registry on November 23, 2022.

Q: What is Kellye Koubek's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Kellye Koubek was last updated on November 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 November 23, 2022PECOS EnrolledAccepts Medicare Assignment

81.31/100

CMS Quality Rating

1400 NW 12TH AVE, MIAMI, FL 33136(305) 243-5302(305) 243-9161 Get Directions Write a Review

NPPES record last updated: November 23, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Kellye Marie Koubek Aprn NPPES

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

KELLYE MARIE KOUBEK APRN (NPI 1659080125) is an individual gerontology provider in Miami, Florida, licensed in Florida (APRN110222802) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1659080125

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameKELLYE MARIE KOUBEKCredential: APRN

Location Address1400 NW 12TH AVEMiami, FL 33136-1003

Mailing Address1400 Nw 12th AveMiami, FL 33136-1003 · (305) 243-5302 · Fax (305) 243-9161

Phone(305) 243-5302

Fax(305) 243-9161

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateNovember 23, 2022

NPPES CertifiedNovember 23, 2022

✔ NPI 1659080125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in FL · APRN110222802

1400 NW 12TH AVE, Miami, FL 33136

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and more.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

Kellye Marie Koubek Aprn 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 ID9335519040

PECOS Enrollment IDI20221221000573

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.

Medicare Billing Reassignment

Medicare enrollment records show Kellye Koubek reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Miami

Same address

Clinical Cardiac Electrophysiology

1295 NW 14TH ST, SUITE A
Miami, FL 33125

Reassigned Medicare billing, Florida enrollment
3,639 clinicians in this Medicare group

NPI 1104232578 (305) 243-5554

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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

$96.13 typical visit price

range $60.92 – $187.05

Typical copayment $24.03 (range $15.23 – $46.76)

Most-billed visit code 99203

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.45

Promoting Interoperability

100

Improvement Activities

Cost

50.59

Other Providers at the Same Location NPPES 20

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

KEREN SHAHAR M.D.

Internal Medicine