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TYLER KELLETT
NPI 1740982008
Student in an Organized Health Care Education/Training Program in Brandon, FL

Active since March 20, 2023PECOS EnrolledAccepts Medicare Assignment
119 OAKFIELD DR, BRANDON, FL 33511(732) 245-2500 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tyler Kellett NPPES

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

TYLER KELLETT (NPI 1740982008) is an individual student in an organized health care education/training program in Brandon, Florida and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Blake Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1740982008
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTYLER KELLETT
Location Address119 OAKFIELD DRBrandon, FL 33511-5779
Mailing Address121 Willowleaf DrLittleton, CO 80127-3571 · (720) 226-4836
Phone(732) 245-2500
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 20, 2023
NPPES CertifiedMarch 20, 2023
✔ NPI 1740982008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
119 OAKFIELD DR, Brandon, FL 33511
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.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

Tyler Kellett 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 ID547629727
PECOS Enrollment IDI20260728000838
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.

Medicare Billing Reassignment

Medicare enrollment records show Tyler Kellett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Medicine Services Of Fl, LLC
189 mi
Emergency Medicine
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 1,912 clinicians in this Medicare group
NPI 1043917180 (305) 682-7000

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

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

Hca Florida Blake Hospital

Acute Care Hospitals · Bradenton, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100213
Location2020 59th St WBradenton, FL 34209 · Manatee County
Emergency services

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.

SYED MUSTAFA ZAIDI
Internal Medicine
119 OAKFIELD DR
BRANDON, FL 33511
Hillsborough County (407) 788-1906
ROBERT MILLER AA
Anesthesiologist Assistant
119 OAKFIELD DR
BRANDON, FL 33511
Hillsborough County (813) 658-5551
DR. SHAWN BLOUIN DNP, ARNP, AGACNP-BC
Nurse Practitioner
119 OAKFIELD DR
BRANDON, FL 33511
Hillsborough County (813) 681-5551
AMANDA SUE ROGERS TURNER DO
Student in an Organized Health Care Education/Training Program
119 OAKFIELD DR
BRANDON, FL 33511
Hillsborough County (813) 916-2358
DR. THOMAS STEVEN LEONARD MD
Emergency Medicine
119 OAKFIELD DR
BRANDON, FL 33511
Hillsborough County (813) 681-5551
MR. ALBERTO RIOS PA-C
Physician Assistant (Medical)
119 OAKFIELD DR
BRANDON, FL 33511
Hillsborough County (800) 424-3672
DR. MATTHEW WILLIAM CARMAN M.D.
Emergency Medicine
119 OAKFIELD DR
BRANDON, FL 33511
Hillsborough County (813) 681-5551
RICKI ANNE BROWN-FORESTIERE MD
Emergency Medicine
119 OAKFIELD DR
BRANDON, FL 33511
Hillsborough County (813) 916-2342

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 Tyler Kellett's NPI number?

The NPI number for Tyler Kellett is 1740982008. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Tyler Kellett located?

Tyler Kellett practices at 119 Oakfield Dr, Brandon, FL 33511. The listed phone number is (732) 245-2500.

What is Tyler Kellett's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tyler Kellett enrolled in Medicare?

Yes. Tyler Kellett 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 organization bills Medicare for Tyler Kellett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Kellett reassigns Medicare benefits to Emergency Medicine Services Of Fl, LLC (Aventura, FL). The 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 Tyler Kellett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyler Kellett accept?

Health plans from Oscar Health Maintenance Organization of Florida list Tyler Kellett 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 Tyler Kellett affiliated with any hospitals?

According to CMS data, Tyler Kellett is affiliated with Hca Florida Blake Hospital.

When was this NPI record last updated?

The NPPES record for Tyler Kellett was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.