MRS. KELLIE TANNOCK APRN
NPI 1891516993
Nurse Practitioner - Family in Ocala, FL

Q: What is Kellie Tannock's NPI number?

The NPI number for Kellie Tannock is 1891516993. It was assigned to this individual provider in the NPPES registry on October 21, 2024.

Q: What is Kellie Tannock's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kellie Tannock was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since October 21, 2024PECOS EnrolledAccepts Medicare Assignment

1009 SW 16TH LN, OCALA, FL 34471(352) 351-3413(352) 629-6667 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Kellie Tannock Aprn NPPES

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

MRS. KELLIE TANNOCK APRN (NPI 1891516993) is an individual family provider in Ocala, Florida, licensed in Florida (APRN11035483) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1891516993

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. KELLIE TANNOCKCredential: APRN

Location Address1009 SW 16TH LNOcala, FL 34471-1228

Mailing Address11240 Se 44th AveBelleview, FL 34420-3721 · (352) 843-7366

Phone(352) 351-3413

Fax(352) 629-6667

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateOctober 21, 2024

Last NPPES UpdateMay 6, 2025

NPPES CertifiedMay 6, 2025

✔ NPI 1891516993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · APRN11035483

Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN11035483 (FL)

1009 SW 16TH LN, Ocala, FL 34471

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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

Mrs. Kellie Tannock 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 ID5698242279

PECOS Enrollment IDI20260430004478

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 34471 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.

Other Providers at the Same Location NPPES 5

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

JONI WINFREE SANDGREN APRN, FNP-C

Nurse Practitioner (Family)