MRS. KELLY PARKER PA-C
NPI 1811459399
Physician Assistant - Medical in Land O Lakes, FL

Active since April 03, 2019PECOS EnrolledAccepts Medicare Assignment
2100 VIA BELLA BLVD STE 102, LAND O LAKES, FL 34639(813) 712-5718(813) 355-5029 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 1, 2023, Dec 3, 2020, Apr 3, 2019 (3 updates tracked since 2019).

About Mrs. Kelly Parker Pa-c NPPES

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

MRS. KELLY PARKER PA-C (NPI 1811459399) is an individual medical provider in Land O Lakes, Florida, licensed in Florida (PA9117316) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1811459399
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. KELLY PARKERCredential: PA-C
Location Address2100 VIA BELLA BLVD STE 102Land O Lakes, FL 34639-5429
Mailing Address38135 Market Square DrZephyrhills, FL 33542-7505 · (352) 567-0188 · Fax (813) 355-5101
Fax(813) 355-5029
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 3, 2019
Last NPPES UpdateJanuary 17, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2024
NPI 1811459399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in FL · PA9117316 Licensed in NY · 025795
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License 025795 (NY)
2100 VIA BELLA BLVD STE 102, Land O Lakes, FL 34639

Other Names 1

Former Name (1)Ms. Kelly Reynolds Pa-c

Accepted 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

Mrs. Kelly Parker Pa-c 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 ID5597178426
PECOS Enrollment IDI20230828002971
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 6

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.
132 services107 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
100 services100 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
96 services86 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
19 services19 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
19 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

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 Parker's NPI number?

The NPI number for Kelly Parker is 1811459399. It was assigned to this individual provider in the NPPES registry on April 3, 2019. The provider is also known as Ms. Kelly Reynolds Pa-C.

Where is Kelly Parker located?

Kelly Parker practices at 2100 Via Bella Blvd Ste 102, Land O Lakes, FL 34639. The listed phone number is (813) 712-5718.

What is Kelly Parker's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kelly Parker enrolled in Medicare?

Yes. Kelly Parker 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.

What insurance does Kelly Parker accept?

Health plans from AvMed list Kelly Parker 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 Kelly Parker was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.