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SUSAN KAMELGARN ARNP
NPI 1871028803
Nurse Practitioner - Family in Daytona Beach, FL

Active since April 27, 2017PECOS Enrolled
104 LA COSTA LANE, SUITE 120, DAYTONA BEACH, FL 32114(386) 274-1966(386) 274-1964 Get Directions Write a Review

NPPES record last updated: April 27, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Susan Kamelgarn Arnp NPPES

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

SUSAN KAMELGARN ARNP (NPI 1871028803) is an individual family provider in Daytona Beach, Florida, licensed in Florida (9227190) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1871028803
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSAN KAMELGARNCredential: ARNP
Location Address104 LA COSTA LANE, SUITE 120Daytona Beach, FL 32114
Mailing Address104 La Costa Lane, Suite 120Daytona Beach, FL 32114 · (386) 274-1966 · Fax (386) 274-1964
Phone(386) 274-1966
Fax(386) 274-1964
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 27, 2017
✔ NPI 1871028803 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 · 9227190
104 LA COSTA LANE, Daytona Beach, FL 32114
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Kamelgarn Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325516545
PECOS Enrollment IDI20260506002162
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 Susan Kamelgarn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Infectious Diseases Of Mid-Florida, PA
4.1 mi
Infectious Disease
290 CLYDE MORRIS BLVD STE D2
Ormond Beach, FL 32174
  • Reassigned Medicare billing, Florida enrollment
  • 7 clinicians in this Medicare group
NPI 1396837308 (386) 265-1021

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

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32114 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 Susan Kamelgarn's NPI number?

The NPI number for Susan Kamelgarn is 1871028803. It was assigned to this individual provider in the NPPES registry on April 27, 2017.

Where is Susan Kamelgarn located?

Susan Kamelgarn practices at 104 La Costa Lane Suite 120, Daytona Beach, FL 32114. The listed phone number is (386) 274-1966.

What is Susan Kamelgarn's specialty?

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

Is Susan Kamelgarn enrolled in Medicare?

Yes. Susan Kamelgarn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Susan Kamelgarn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Kamelgarn reassigns Medicare benefits to Infectious Diseases Of Mid-Florida, PA (Ormond Beach, 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 Susan Kamelgarn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Susan Kamelgarn affiliated with any hospitals?

According to CMS data, Susan Kamelgarn is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Susan Kamelgarn was last updated on April 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.