KELLY ELIZABETH DEMUYNCK PA
NPI 1750772349
Physician Assistant in Daytona Beach, FL

Q: What is Kelly Demuynck's NPI number?

The NPI number for Kelly Demuynck is 1750772349. It was assigned to this individual provider in the NPPES registry on February 18, 2015.

Q: What is Kelly Demuynck's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Demuynck was last updated on April 6, 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.

Active since February 18, 2015PECOS EnrolledAccepts Medicare Assignment

305 MEMORIAL MEDICAL PKWY STE 308, DAYTONA BEACH, FL 32117(678) 464-4466 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2023, Mar 30, 2023, Nov 19, 2020 and 1 more (4 updates tracked since 2015).

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About Kelly Elizabeth Demuynck Pa NPPES

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

KELLY ELIZABETH DEMUYNCK PA (NPI 1750772349) is an individual physician assistant in Daytona Beach, Florida, licensed in Florida (PA9112731) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Ocala, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1750772349

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKELLY ELIZABETH DEMUYNCKCredential: PA

Location Address305 MEMORIAL MEDICAL PKWY STE 308Daytona Beach, FL 32117-5137

Mailing Address305 Memorial Medical Pkwy Ste 308Daytona Beach, FL 32117-5137 · (678) 464-4466 · Fax (816) 531-9862

Phone(678) 464-4466

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateFebruary 18, 2015

Last NPPES UpdateApril 6, 20234 updates tracked since enumeration

NPPES CertifiedApril 6, 2023

✔ NPI 1750772349 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 · PA9112731

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.

305 MEMORIAL MEDICAL PKWY STE 308, Daytona Beach, FL 32117

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, CareSource, Medica and more.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

Kelly Elizabeth Demuynck Pa 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 ID2163749045

PECOS Enrollment IDI20201209001449

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 2

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.

Harvest of vein using an endoscope 33508

Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.

17 services16 patients

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

15 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Adventhealth Ocala

Acute Care Hospitals · Ocala, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100062

Location1500 SW 1st AveOcala, FL 34474 · Marion County

Emergency services Birthing friendly

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100068

Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County

Emergency services Birthing friendly

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100118

Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32117 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 8

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

RHONDA LEE GLEASON PA-C

Physician Assistant