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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: September 27, 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.

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
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
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kettelene Paul Nurse Practitioner 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.

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.

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.