Deborah Ann Kicliter-Kelley, ARNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

ARNP9198526 Issued in FL

Practice address

1801 SE Hillmoor Dr
Suite B109
Port Saint Lucie, FL 34952-7553

Phone

(772) 337-9473

Fax

(772) 337-0796

NPI assigned

Aug 13, 2008

Last updated

Mar 1, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Av Medical Center Inc.Group PAC ID 2264979723, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AIIGDD/Endpoint/AIIGDD
• FHIR API: https://fhir4.healow.com/fhir/r4/GCJIAD

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.

• Av Medical Center Inc.

  dba Marquis MD Florida

  • Internal Medicine Physician
  • Fort Pierce, FL
  • NPI 1245075936
  Medicare reassignment Care Compare group NPD
• Dwight G. a. Dawkins, MD, PA

  • Family Medicine Physician
  • Fort Pierce, FL
  • NPI 1942530951
  Medicare reassignment NPD
• Pramod Joseph MD LLC

  dba Treasure Coast Gastro Health

  • Gastroenterology Physician
  • Fort Pierce, FL
  • NPI 1215314018
  Medicare reassignment NPD
• Pramod Joseph Hospital Practice LLC

  • Gastroenterology Physician
  • Fort Pierce, FL
  • NPI 1841924842
  NPD (past)

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740787200000",
    "number": "1144476920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N LAWNWOOD CIR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504825",
            "telephone_number": "772-462-3800",
            "fax_number": "772-462-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SE HILLMOOR DR",
            "address_2": "SUITE B109",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527553",
            "telephone_number": "772-337-9473",
            "fax_number": "772-337-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KICLITER-KELLEY",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2025-03-01",
        "certification_date": "2025-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9198526",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9198526",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "ARNP9198526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Key Chiropractic P.a.
• Jared Matthew Key, D.C.
• Mona Khalil, AP
• Shyamazan Khan
• Maged A Khodeir, RPH
• Kidpro Therapies, Inc
• Kind Hands Behavioral Services LLC
• Kinect Therapy Services
• Matthew Benjamin King, RN
• Matthew Kingrey, LCSW

• Women's Health Nurse Practitioner in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Women's Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.