Individual provider Active NPI

Kelly Ann Cortes, APRN

  • Women's Health Nurse Practitioner
  • Lutz, FL
National Provider Identifier
1093597163
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
11028075 Issued in FL
Practice address
25179 Sawyer Francis LN
Lutz, FL 33559-6947
Phone
(813) 733-7300
Fax
(813) 733-7360
NPI assigned
Oct 13, 2023
Last updated
May 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 11028075 FL Primary

Addresses

Primary practice location

25179 Sawyer Francis LN
Lutz, FL 33559-6947

Mailing address

25179 Sawyer Francis LN
Lutz, FL 33559-6947
Phone (813) 733-7300

Other identifiers 1

IdentifierTypeStateIssuer
120602200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231206003063 FL Practitioner - Nurse Practitioner 6103275805 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health First Privia Medical GroupGroup PAC ID 3173965993, 247 clinicians

Practice addresses (Care Compare)

25179 Sawyer Francis LN
Lutz, FL 33559-6947
Phone (770) 312-5226

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11028075FLMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc Nurse Practitioner CurrentSince Jan 29, 2024 Accepting new patients
Privia Medical Group Florida, LLC CurrentSince Aug 5, 2025 Accepting new patients

Locations

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

25179 Sawyer Francis Ln
Lutz, FL 33559
Phone (813) 733-3000

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 100
Wesley Chapel, FL 33543
Phone (813) 929-5341

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Interoperability endpoints

  • Direct secure messaging: kelly.cortes.1@8042.direct.athenahealth.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1093597163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25179 SAWYER FRANCIS LN",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335596947",
            "telephone_number": "813-733-7300",
            "fax_number": "813-733-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25179 SAWYER FRANCIS LN",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335596947",
            "telephone_number": "813-733-7300",
            "fax_number": "813-733-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTES",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-13",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "11028075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120602200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.