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KELLI M. TYSON ARNP
NPI 1801304357
Nurse Practitioner in St Augustine, FL

Active since January 18, 2018PECOS EnrolledAccepts Medicare Assignment
1100 PLANTATION ISLAND DR S STE 220, ST AUGUSTINE, FL 32080(904) 223-3321(904) 223-2169 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2024, Jan 18, 2018 (2 updates tracked since 2018).

About Kelli M. Tyson Arnp NPPES

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

KELLI M. TYSON ARNP (NPI 1801304357) is an individual nurse practitioner in St Augustine, Florida, licensed in Florida (ARNP9229212) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1801304357
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLI M. TYSONCredential: ARNP
Location Address1100 PLANTATION ISLAND DR S STE 220St Augustine, FL 32080-5174
Mailing Address5191 First Coast Tech Pkwy Fl 3Jacksonville, FL 32224-0609 · (904) 223-3321 · Fax (904) 223-2169
Phone(904) 223-3321
Fax(904) 223-2169
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 18, 2018
Last NPPES UpdateDecember 19, 20242 updates tracked since enumeration
NPPES CertifiedDecember 19, 2024
✔ NPI 1801304357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · ARNP9229212
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1100 PLANTATION ISLAND DR S STE 220, St Augustine, FL 32080
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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 and accepts Medicare assignment

Kelli M. Tyson Arnp 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 ID2860722451
PECOS Enrollment IDI20190925000073
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 10

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
725 services176 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
224 services124 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
133 services130 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
113 services85 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
72 services49 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
56 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32080 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers20 claims20 services$18.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

KASSIA C SILVA
Pain Medicine (Interventional Pain Medicine)
1100 PLANTATION ISLAND DR S STE 220
ST AUGUSTINE, FL 32080
St. Johns County (904) 223-3321
MR. ROBERT P. WEBER PA-C
Physician Assistant
1100 PLANTATION ISLAND DR S STE 220
ST AUGUSTINE, FL 32080
St. Johns County (904) 223-3321
JACKSONVILLE SPINE CENTER PA
Pain Medicine (Interventional Pain Medicine)
1100 PLANTATION ISLAND DR S STE 220
ST AUGUSTINE, FL 32080
St. Johns County (904) 223-3321
EMMA KLECKNER DNP
Nurse Practitioner (Family)
1100 PLANTATION ISLAND DR S STE 220
SAINT AUGUSTINE, FL 32080
St. Johns County (904) 223-3321
JOSHUA B MASSEY PA
Physician Assistant
1100 PLANTATION ISLAND DR S STE 220
ST AUGUSTINE, FL 32080
St. Johns County (904) 223-3321
DR. MICHAEL CHRISTOPHER HANES M.D.
Pain Medicine (Interventional Pain Medicine)
1100 PLANTATION ISLAND DR S STE 220
SAINT AUGUSTINE, FL 32080
St. Johns County (904) 223-3321

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 Kelli Tyson's NPI number?

The NPI number for Kelli Tyson is 1801304357. It was assigned to this individual provider in the NPPES registry on January 18, 2018.

Where is Kelli Tyson located?

Kelli Tyson practices at 1100 Plantation Island Dr S Ste 220, St Augustine, FL 32080. The listed phone number is (904) 223-3321.

What is Kelli Tyson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kelli Tyson enrolled in Medicare?

Yes. Kelli Tyson 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.

When was this NPI record last updated?

The NPPES record for Kelli Tyson was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.