KELSEA LYDON PA-C
NPI 1659993103
Physician Assistant - Surgical in Orlando, FL

Q: What is Kelsea Lydon's NPI number?

The NPI number for Kelsea Lydon is 1659993103. It was assigned to this individual provider in the NPPES registry on May 7, 2020.

Q: What is Kelsea Lydon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Kelsea Lydon was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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 May 07, 2020PECOS EnrolledAccepts Medicare Assignment

9430 TURKEY LAKE RD STE 114, ORLANDO, FL 32819(407) 354-1202(407) 351-8801 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 3, 2025, Jul 6, 2020, Jul 1, 2020 and 2 more (5 updates tracked since 2020).

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About Kelsea Lydon Pa-c NPPES

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

KELSEA LYDON PA-C (NPI 1659993103) is an individual surgical provider in Orlando, Florida, licensed in Florida (PA9113335) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Orlando Health, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1659993103

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameKELSEA LYDONCredential: PA-C

Location Address9430 TURKEY LAKE RD STE 114Orlando, FL 32819-8015

Mailing Address9430 Turkey Lake Rd Ste 114Orlando, FL 32819-8015 · (407) 354-1202 · Fax (407) 351-8801

Phone(407) 354-1202

Fax(407) 351-8801

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateMay 7, 2020

Last NPPES UpdateNovember 3, 20255 updates tracked since enumeration

NPPES CertifiedNovember 3, 2025

✔ NPI 1659993103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in FL · PA9113335

Also ListedPhysician AssistantTaxonomy 363A00000X

9430 TURKEY LAKE RD STE 114, Orlando, FL 32819

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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

Kelsea Lydon Pa-c 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 ID5991293342

PECOS Enrollment IDI20251019000022

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.

Orlando Health

Acute Care Hospitals · Orlando, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100006

Location52 W Underwood StOrlando, FL 32806 · Orange County

Emergency services Birthing friendly

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.

DR. IMTIAZUDDIN SHAIK MD

Surgery