Individual provider Active NPI

Kelly A Bell, ARNP

  • Family Nurse Practitioner
  • Clermont, FL
National Provider Identifier
1124162524
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9223450 Issued in FL
Practice address
3175 Citrus Tower Blvd Ste B
Clermont, FL 34711
Phone
(352) 404-6900
NPI assigned
Feb 18, 2007
Last updated
Jun 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9223450 FL Primary

Addresses

Primary practice location

3175 Citrus Tower Blvd Ste B
Clermont, FL 34711

Mailing address

3175 Citrus Tower Blvd Ste B
Clermont, FL 34711-6885
Phone (352) 404-6900

Other identifiers 1

IdentifierTypeStateIssuer
CM303YOtherFLMEDICARE

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
I20091202000596 FL Practitioner - Nurse Practitioner 8123095197 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Manatee Physician Alliance LLCGroup PAC ID 6901095231, 8 clinicians
H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, shared by 10 NPIs, 257 clinicians

Practice addresses (Care Compare)

1561 Lakefront Dr
Sarasota, FL 34240-1572
Phone (941) 867-2424

8220 Natures Way
Lakewood Ranch, FL 34202-4208
Phone (800) 699-9395

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002220CTMDRegistered Dietitian
9223450FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Manatee Physician Alliance, LLC CurrentSince Aug 1, 2022 Accepting new patients
Nibha Mediratta MD PL CurrentSince Nov 1, 2020 Accepting new patients
Ante Rudez MD PA Past Accepting new patients
Family Health Care Center, LLC Past Accepting new patients
Manatee Specialty Physician Alliance, LLC Past Accepting new patients

Locations

200 3rd Ave W
Ste 110
Bradenton, FL 34205
Phone (941) 744-2700

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

1950 Hospital View Way
Clermont, FL 34711
Phone (321) 274-1864

1970 Hospital View Way
Clermont, FL 34711
Phone (321) 274-1864

1561 Lakefront Dr
#200202
Sarasota, FL 34240
Phone (941) 867-2424

6600 University Pkwy
Ste 201
Sarasota, FL 34240
Phone (941) 782-9456

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEBDAD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1124162524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3175 CITRUS TOWER BLVD STE B",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116885",
            "telephone_number": "352-404-6900",
            "fax_number": "352-404-6904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 CITRUS TOWER BLVD STE B",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34711",
            "telephone_number": "352-404-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-18",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9223450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CM303Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.