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KELLY OSULLIVAN-STOBBE PAC MS
NPI 1750372934
Physician Assistant in Apopka, FL

Active since November 04, 2005PECOS Enrolled
202 N PARK AVE, APOPKA, FL 32703(407) 889-4711(407) 889-7742 Get Directions Write a Review

NPPES record last updated: September 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 28, 2020, Mar 10, 2020, Sep 17, 2017 (3 updates tracked since 2017).

About Kelly Osullivan-stobbe Pac Ms NPPES

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

KELLY OSULLIVAN-STOBBE PAC MS (NPI 1750372934) is an individual physician assistant in Apopka, Florida, licensed in Florida (PA0003199) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750372934
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY OSULLIVAN-STOBBECredential: PAC MS
Location Address202 N PARK AVEApopka, FL 32703-4148
Mailing Address202 N Park AveApopka, FL 32703-4148 · (407) 889-4711 · Fax (407) 889-7742
Phone(407) 889-4711
Fax(407) 889-7742
Sole ProprietorNo
Enumeration DateNovember 4, 2005
Last NPPES UpdateSeptember 3, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2021
✔ NPI 1750372934 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 · PA0003199
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.
202 N PARK AVE, Apopka, FL 32703
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Other Identifiers 1

OtherK9529FL · Medicare Group

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Osullivan-stobbe Pac Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
51 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32703 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 3

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

ADAM MICHAEL DEYOUNG D.O.
Family Medicine
202 N PARK AVE
APOPKA, FL 32703
Orange County (407) 889-4711
ORLANDO FOOT AND ANKLE CLINIC INC
Podiatrist (Foot & Ankle Surgery)
202 N PARK AVE, SUITE 500
APOPKA, FL 32703
Orange County (407) 410-1234
DOUGLAS M CHILDS DPM
Podiatrist (Foot & Ankle Surgery)
202 N PARK AVE, SUITE 500
APOPKA, FL 32703
Orange County (407) 410-1234

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 Kelly Osullivan-stobbe's NPI number?

The NPI number for Kelly Osullivan-stobbe is 1750372934. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is Kelly Osullivan-stobbe located?

Kelly Osullivan-stobbe practices at 202 N Park Ave, Apopka, FL 32703. The listed phone number is (407) 889-4711.

What is Kelly Osullivan-stobbe's specialty?

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

Is Kelly Osullivan-stobbe enrolled in Medicare?

Yes. Kelly Osullivan-stobbe is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Osullivan-stobbe was last updated on September 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.