Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLEY MAPLE APRN
NPI 1679115653
Nurse Practitioner - Family in Ft Lauderdale, FL

Q: What is Kelley Maple's NPI number?

The NPI number for Kelley Maple is 1679115653. It was assigned to this individual provider in the NPPES registry on October 11, 2019.

Q: What is Kelley Maple's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: Is Kelley Maple enrolled in Medicare?

No. Kelley Maple has opted out of Medicare through October 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Kelley Maple was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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 October 11, 2019Opted out of Medicare · through Oct 1, 2028

721 NE 3RD AVE BLDG B, FT LAUDERDALE, FL 33304(636) 236-1820 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 12, 2026, Oct 11, 2019 (2 updates tracked since 2019).

On this page

About Kelley Maple Aprn NPPES

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

KELLEY MAPLE APRN (NPI 1679115653) is an individual family provider in Ft Lauderdale, Florida, licensed in Florida (APRN11004414) and active in the NPI registry since October 2019. She has opted out of Medicare through October 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1679115653

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLEY MAPLECredential: APRN

Location Address721 NE 3RD AVE BLDG BFt Lauderdale, FL 33304-2619

Mailing Address721 Ne 3rd Ave Bldg BFt Lauderdale, FL 33304-2619

Phone(636) 236-1820

Sole ProprietorNo

Enumeration DateOctober 11, 2019

Last NPPES UpdateOctober 12, 20262 updates tracked since enumeration

NPPES CertifiedOctober 12, 2026

✔ NPI 1679115653 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 · APRN11004414

721 NE 3RD AVE BLDG B, Ft Lauderdale, FL 33304

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kelley Maple Aprn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2026 through October 1, 2028.

Opt-Out Effective DateOctober 1, 2026

Opt-Out In Effect ThroughOctober 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33304 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

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 Kelley Maple's NPI number?

The NPI number for Kelley Maple is 1679115653. It was assigned to this individual provider in the NPPES registry on October 11, 2019.

Where is Kelley Maple located?

Kelley Maple practices at 721 NE 3rd Ave Bldg B, Ft Lauderdale, FL 33304. The listed phone number is (636) 236-1820.

What is Kelley Maple's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelley Maple enrolled in Medicare?

No. Kelley Maple has opted out of Medicare through October 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kelley Maple was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.