Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY MARGARET KELLY NP
NPI 1902992498
Nurse Practitioner in Jacksonville, FL

Q: What is Mary Kelly's NPI number?

The NPI number for Mary Kelly is 1902992498. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Mary Kelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Kelly was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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 04, 2006PECOS Enrolled

4720 SALISBURY RD, JACKSONVILLE, FL 32256(855) 212-2273(629) 240-6003 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 8, 2025, Aug 8, 2022, Oct 25, 2019 (3 updates tracked since 2019).

On this page

About Mary Margaret Kelly Np NPPES

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

MARY MARGARET KELLY NP (NPI 1902992498) is an individual nurse practitioner in Jacksonville, Florida, licensed in Florida (APRN11018208) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Clermont.

NPPES Registry Identity

NPI1902992498

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARY MARGARET KELLYCredential: NP

Location Address4720 SALISBURY RDJacksonville, FL 32256-6101

Mailing Address5410 Maryland Way Ste 400Brentwood, TN 37027-8087 · (855) 212-2273

Phone(855) 212-2273

Fax(629) 240-6003

Sole ProprietorNo

Enumeration DateOctober 4, 2006

Last NPPES UpdateOctober 22, 20263 updates tracked since enumeration

NPPES CertifiedOctober 22, 2026

✔ NPI 1902992498 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 · APRN11018208

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.

4720 SALISBURY RD, Jacksonville, FL 32256

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Secondary Practice Location 1

Location 11735 E Hwy 50 Ste BClermont, FL 34711-5189 · Phone (352) 241-0549 · Fax (352) 242-9325

Other Identifiers 2

Medicaid114517200FL

OtherKE1828981PA · Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Margaret Kelly Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

Medicare enrollment records show Mary Kelly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Monogram Health Professional Services Of Florida LLC

Same address

Nephrology

4720 SALISBURY RD
Jacksonville, FL 32256

Reassigned Medicare billing, Florida enrollment
98 clinicians in this Medicare group

NPI 1538883111 (615) 673-4455

Florida Post Acute Care Clinicians, LLC

303 mi

Family Medicine

3601 SW 160TH AVE STE 250
Miramar, FL 33027

Reassigned Medicare billing, Florida enrollment
88 clinicians in this Medicare group

NPI 1043760473 (877) 866-7123

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

Areas of Expertise CMS Part B claims 2

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.

42 services33 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.

39 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32256 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 20

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

MS. LATISHA M HILL MSW

Social Worker (Clinical)