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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KETTELENE PAUL NURSE PRACTITIONER
NPI 1760303689
Nurse Practitioner - Family in Lady Lake, FL

Active since July 24, 2026PECOS Enrolled
309 WOODS LANDING DR, LADY LAKE, FL 32159(786) 286-0717 Get Directions Write a Review

NPPES record added: July 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kettelene Paul Nurse Practitioner NPPES

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

KETTELENE PAUL NURSE PRACTITIONER (NPI 1760303689) is an individual family provider in Lady Lake, Florida, licensed in Florida (11037272) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS and is a graduate of University Of South Florida College Of Medicine (2024).

NPPES Registry Identity

NPI1760303689
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKETTELENE PAULCredential: NURSE PRACTITIONER
Location Address309 WOODS LANDING DRLady Lake, FL 32159-4307
Mailing Address309 Woods Landing DrLady Lake, FL 32159-4307
Phone(786) 286-0717
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2024
Enumeration DateJuly 24, 2026
NPPES CertifiedJuly 24, 2026
✔ NPI 1760303689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 11037272
309 WOODS LANDING DR, Lady Lake, FL 32159
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kettelene Paul Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971063595
PECOS Enrollment IDI20260902004735
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 Kettelene Paul reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cardiac And Vascular Consultants MD PA
3.1 mi
Medical Specialty
1050 OLD CAMP RD, SUITE 270
The Villages, FL 32162
  • Reassigned Medicare billing, Florida enrollment
  • 19 clinicians in this Medicare group
NPI 1093006108 (352) 552-4648

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32159 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
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Kettelene Paul's NPI number?

The NPI number for Kettelene Paul is 1760303689. It was assigned to this individual provider in the NPPES registry on July 24, 2026.

Where is Kettelene Paul located?

Kettelene Paul practices at 309 Woods Landing Dr, Lady Lake, FL 32159. The listed phone number is (786) 286-0717.

What is Kettelene Paul's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kettelene Paul enrolled in Medicare?

Yes. Kettelene Paul is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kettelene Paul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kettelene Paul reassigns Medicare benefits to Cardiac And Vascular Consultants MD PA (The Villages, 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 Kettelene Paul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kettelene Paul accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Kettelene Paul 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.

When was this NPI record last updated?

The NPPES record for Kettelene Paul was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.