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KELSEY M GOLOTIC AGACNP
NPI 1720853666
Nurse Practitioner - Adult Health in Fort Myers, FL

Active since November 21, 2023PECOS EnrolledAccepts Medicare Assignment
2780 CLEVELAND AVE STE 811, FORT MYERS, FL 33901(239) 343-3800(239) 343-3993 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2025, Nov 21, 2023 (2 updates tracked since 2023).

About Kelsey M Golotic Agacnp NPPES

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

KELSEY M GOLOTIC AGACNP (NPI 1720853666) is an individual adult health provider in Fort Myers, Florida, licensed in Florida (APRN11030613) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1720853666
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKELSEY M GOLOTICCredential: AGACNP
Location Address2780 CLEVELAND AVE STE 811Fort Myers, FL 33901-5817
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-3800 · Fax (239) 343-3993
Phone(239) 343-3800
Fax(239) 343-3993
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 21, 2023
Last NPPES UpdateDecember 9, 20252 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
✔ NPI 1720853666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · APRN11030613
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License RN9446083 (FL)
2780 CLEVELAND AVE STE 811, Fort Myers, FL 33901
Open in Google Maps ↗

Other Names 1

Former Name (1)Kelsey M Bereberick Aprn

Other Identifiers 1

Medicaid121031900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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

Kelsey M Golotic Agacnp 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 ID8426400623
PECOS Enrollment IDI20240123002365
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 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

Gulf Coast Medical Center Lee Health

Acute Care Hospitals · Fort Myers, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100220
Location13681 Doctors WayFort Myers, FL 33912 · Lee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33901 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.

Other Providers at the Same Location NPPES 3

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

DR. JOHN J DUSSEAU M.D.
Neurological Surgery
2780 CLEVELAND AVE STE 811
FORT MYERS, FL 33901
Lee County (239) 343-3800
MRS. SAMANTHA LEE ZAVADA PA-C
Physician Assistant (Surgical)
2780 CLEVELAND AVE STE 811
FORT MYERS, FL 33901
Lee County (239) 343-3800
MARISSA LEIGH BOE PA-C
Physician Assistant
2780 CLEVELAND AVE STE 811
FORT MYERS, FL 33901
Lee County (239) 343-3800

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 Kelsey Golotic's NPI number?

The NPI number for Kelsey Golotic is 1720853666. It was assigned to this individual provider in the NPPES registry on November 21, 2023. The provider is also known as Kelsey M Bereberick Aprn.

Where is Kelsey Golotic located?

Kelsey Golotic practices at 2780 Cleveland Ave Ste 811, Fort Myers, FL 33901. The listed phone number is (239) 343-3800.

What is Kelsey Golotic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kelsey Golotic enrolled in Medicare?

Yes. Kelsey Golotic 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 Kelsey Golotic accept?

Health plans from AvMed list Kelsey Golotic 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 Kelsey Golotic affiliated with any hospitals?

According to CMS data, Kelsey Golotic is affiliated with Lee Memorial Hospital and Gulf Coast Medical Center Lee Health.

When was this NPI record last updated?

The NPPES record for Kelsey Golotic was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.