Individual provider Active NPI

Kelsie Phillips

  • Family Nurse Practitioner
  • Cape Coral, FL
National Provider Identifier
1033534995
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1131920 Issued in TX
Practice address
708 Del Prado Blvd S Ste 7
Cape Coral, FL 33990-2676
Phone
(239) 424-3660
Fax
(239) 424-3663
NPI assigned
Feb 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9223560 FL
Nurse Practitioner 363L00000X ARNP9223560 FL
Nurse Practitioner 363L00000X 1131920 TX
Family Nurse Practitioner 363LF0000X 1131920 TX Primary

Addresses

Primary practice location

708 Del Prado Blvd S Ste 7
Cape Coral, FL 33990-2676

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 424-3660

Other practice location 1

636 Del Prado Blvd S
Cape Coral, FL 33990-2668
Phone (239) 424-3513

Other identifiers 1

IdentifierTypeStateIssuer
110846500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140311001387 FL Practitioner - Nurse Practitioner 9931339090 Reassigns benefits to 2 organizations
I20230920003219 TX Practitioner - Nurse Practitioner 9931339090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Em-I Medical Services PAGroup PAC ID 6507760543, 24 clinicians

Practice addresses (Care Compare)

132 E Hospital Dr
Angleton, TX 77515-4112
Phone (954) 939-5000

Hospital & facility affiliations

  • University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Em-I Medical Services PA Nurse Practitioner CurrentSince Sep 1, 2023 Accepting new patients
Texas Em-I Medical Services PA Nurse Practitioner CurrentSince Sep 1, 2023 Accepting new patients
MD Now Medical Centers Inc CurrentSince Oct 20, 2020 Accepting new patients
MD Now Medical Centers Inc CurrentSince Oct 20, 2020 Accepting new patients
Cape Coral Emergency Physicians LLC CurrentSince Mar 1, 2014 Accepting new patients

Locations

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

Fort Myers, FL 33907
Phone (239) 245-9599

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

132 E Hospital Dr
Angleton, TX 77515
Phone (210) 629-3866

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

505 S John Redditt Dr
Lufkin, TX 75904
Phone (713) 512-1200

605 Holderrieth Blvd
Tomball, TX 77375
Phone (281) 401-7500

200 Blossom St
Webster, TX 77598
Phone (281) 252-7000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1033534995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-424-3660",
            "fax_number": "239-424-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 DEL PRADO BLVD S STE 7",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339902676",
            "telephone_number": "239-424-3660",
            "fax_number": "239-424-3663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "636 Del Prado Blvd S",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339902668",
            "country_code": "US",
            "telephone_number": "239-424-3513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "KELSIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-28",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9223560",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9223560",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1131920",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1131920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110846500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.