DANIEL WILLIAM KELLY PA-C
NPI 1689565566
Physician Assistant in Daytona Beach, FL

Active since July 10, 2025PECOS Enrolled
222 S PENINSULA DR, DAYTONA BEACH, FL 32118(386) 310-2160(386) 310-2106 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2025, Jul 10, 2025 (2 updates tracked since 2025).

About Daniel William Kelly Pa-c NPPES

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

DANIEL WILLIAM KELLY PA-C (NPI 1689565566) is an individual physician assistant in Daytona Beach, Florida, licensed in Florida (PA9120753) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Deland, and maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1689565566
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDANIEL WILLIAM KELLYCredential: PA-C
Location Address222 S PENINSULA DRDaytona Beach, FL 32118-4422
Mailing Address2549 Maitland Crossing Way Apt 11308Orlando, FL 32810-7111 · (407) 782-5300
Fax(386) 310-2106
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 10, 2025
Last NPPES UpdateSeptember 23, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2025
NPI 1689565566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA9120753
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.
222 S PENINSULA DR, Daytona Beach, FL 32118

Secondary Practice Location 1

Location 12549 Maitland Crossing Way Apt 11-308Orlando, FL 32810-7111 · Phone (407) 782-5300

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Daniel William Kelly Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204331531
PECOS Enrollment IDI20250926000552
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.

Adventhealth Deland

Acute Care Hospitals · Deland, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100045
Location701 W Plymouth AveDeland, FL 32720 · Volusia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32118 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.

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.

Emergency Medicine
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Emergency Medicine
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Physician Assistant
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Internal Medicine
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Physician Assistant
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Emergency Medicine
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Physician Assistant
222 S PENINSULA DR
DAYTONA BEACH, FL 32118
Emergency Medicine
222 S PENINSULA DR
DAYTONA BEACH, FL 32118

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 Daniel Kelly's NPI number?

The NPI number for Daniel Kelly is 1689565566. It was assigned to this individual provider in the NPPES registry on July 10, 2025.

Where is Daniel Kelly located?

Daniel Kelly practices at 222 S Peninsula Dr, Daytona Beach, FL 32118. The listed phone number is (386) 310-2160.

What is Daniel Kelly's specialty?

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

Is Daniel Kelly enrolled in Medicare?

Yes. Daniel Kelly is registered in the Medicare PECOS enrollment system.

Is Daniel Kelly affiliated with any hospitals?

According to CMS data, Daniel Kelly is affiliated with Adventhealth Deland.

When was this NPI record last updated?

The NPPES record for Daniel Kelly was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.