KELSEY M GOLOTIC AGACNP
NPI 1720853666
Nurse Practitioner - Adult Health in Fort Myers, FL
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
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Accepted 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Kelsey Golotic reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Myers, FL 33901
- Reassigned Medicare billing, Florida enrollment
- 1,345 clinicians in this Medicare group
Fort Myers, FL 33908
- Reassigned Medicare billing, Florida enrollment
- 1,899 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, FLGulf Coast Medical Center Lee Health
Acute Care Hospitals · Fort Myers, FLPhysician 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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT MYERS, FL 33901
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.
Which organizations bill Medicare for Kelsey Golotic's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Golotic reassigns Medicare benefits to 2 organizations: Lee Memorial Health System (Fort Myers, FL) and Lee Health System Inc (Fort Myers, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelsey Golotic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelsey Golotic accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama 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 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.
# Kelsey M Golotic, AGACNP · NPI 1720853666
Adult Health physician in Fort Myers, Florida. Individual provider, active in the CMS NPPES registry since November 21, 2023.
## Identity
- **NPI:** 1720853666 (Entity type: Individual)
- **Enumerated:** November 21, 2023
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** APRN11030613 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 2780 CLEVELAND AVE STE 811, Fort Myers, FL 33901-5817
- **Phone:** (239) 343-3800 · **Fax:** (239) 343-3993
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lee Memorial Health System (NPI 1134222532, Fort Myers, FL); Lee Health System Inc (NPI 1942058557, Fort Myers, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** December 9, 2025
- **Other identifiers:** Medicaid 121031900 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1720853666) · Data from the CMS NPPES public registry.