MS. STACEY ANN KELLY APRN
NPI 1881671634
Nurse Practitioner in Jacksonville, FL

Active since December 22, 2005PECOS EnrolledAccepts Medicare Assignment
91.62/100
CMS Quality Rating
915 W MONROE ST STE 200, JACKSONVILLE, FL 32204(904) 384-2240(904) 486-2314 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 28, 2021, Jul 8, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Ms. Stacey Ann Kelly Aprn NPPES

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

MS. STACEY ANN KELLY APRN (NPI 1881671634) is an individual nurse practitioner in Jacksonville, Florida, licensed in Florida (APRN9205289) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1881671634
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. STACEY ANN KELLYCredential: APRN
Location Address915 W MONROE ST STE 200Jacksonville, FL 32204-1177
Mailing Address915 W Monroe St Ste 200Jacksonville, FL 32204-1177 · (904) 384-2240 · Fax (904) 486-2314
Fax(904) 486-2314
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateDecember 22, 2005
Last NPPES UpdateSeptember 28, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2023
NPI 1881671634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in FL · APRN9205289
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.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License APRN9205289 (FL)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN9205289 (FL)
915 W MONROE ST STE 200, Jacksonville, FL 32204

Other Identifiers 1

OtherP01402890FL · Railroad Medicare

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

Ms. Stacey Ann Kelly Aprn 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 ID6002951860
PECOS Enrollment IDI20100304000118
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.
555 services276 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
165 services74 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.
121 services83 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
50 services49 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.
29 services29 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

Ed Fraser Memorial Hospital

Acute Care Hospitals · Macclenny, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100134
Location159 N 3rd StMacclenny, FL 32063 · Baker County
Emergency services

Baptist Medical Center - Nassau

Acute Care Hospitals · Fernandina Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100140
Location1250 S 18th StFernandina Beach, FL 32034 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32204 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.61
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers11 claims139 services$18.19 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers11 claims330 services$2.34 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
30 suppliers67 claims316 services$6.25 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
14 suppliers28 claims73 services$1.04 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
3 suppliers22 claims22 services$277.27 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
11 suppliers274 claims278 services$186.29 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 20

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

Nurse Practitioner (Family)
915 W MONROE ST STE 200
JACKSONVILLE, FL 32204
Nurse Practitioner
915 W MONROE ST STE 200
JACKSONVILLE, FL 32204
Registered Nurse (Diabetes Educator)
915 W MONROE ST STE 200
JACKSONVILLE, FL 32204
Physician Assistant
915 W MONROE ST STE 200
JACKSONVILLE, FL 32204
Physician Assistant
915 W MONROE ST STE 200
JACKSONVILLE, FL 32204
Nurse Practitioner (Family)
915 W MONROE ST STE 200
JACKSONVILLE, FL 32204
Physician Assistant
915 W MONROE ST STE 200
JACKSONVILLE, FL 32204
Physician Assistant
915 W MONROE ST STE 200
JACKSONVILLE, FL 32204

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 Stacey Kelly's NPI number?

The NPI number for Stacey Kelly is 1881671634. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Stacey Kelly located?

Stacey Kelly practices at 915 W Monroe St Ste 200, Jacksonville, FL 32204. The listed phone number is (904) 384-2240.

What is Stacey Kelly's specialty?

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

Is Stacey Kelly enrolled in Medicare?

Yes. Stacey Kelly 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 Stacey Kelly accept?

Health plans from AvMed list Stacey Kelly 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.

Is Stacey Kelly affiliated with any hospitals?

According to CMS data, Stacey Kelly is affiliated with Baptist Health Medical Center - Jacksonville, Baptist Medical Center Beaches, Ed Fraser Memorial Hospital and Baptist Medical Center - Nassau.

When was this NPI record last updated?

The NPPES record for Stacey Kelly was last updated on September 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.