Active NPI
Kelly Marie Flesh
- Family Nurse Practitioner
- Coconut Creek, FL
National Provider Identifier
1144834151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11018516
- Practice address
- 5375 NW 54TH St
Coconut Creek, FL 33073-3739 - Phone
- (407) 756-6853
- NPI assigned
- Sep 7, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | C-APN.0106015-C-NP | CO | |
| Family Nurse Practitioner | 363LF0000X | 71018172A | IN | |
| Nurse Practitioner | 363L00000X | C-RXN.0103873-C-NP | CO | |
| Family Nurse Practitioner | 363LF0000X | 11018516 | FL | Primary |
| Registered Nurse | 163W00000X | 9465064 | FL | |
| Family Nurse Practitioner | 363LF0000X | 908448 | MS | |
| Registered Nurse | 163W00000X | 95452181 | CA | |
| Nurse Practitioner | 363L00000X | 4052520 | KY | |
| Nurse Practitioner | 363L00000X | CNP261079 | ME | |
| Nurse Practitioner | 363L00000X | 1228122 | TX | |
| Nurse Practitioner | 363L00000X | 53-85277-112 | KS |
Addresses
Primary practice location
5375 NW 54TH St
Coconut Creek, FL 33073-3739
Mailing address
5375 NW 54TH St
Coconut Creek, FL 33073-3739
Phone (407) 756-6853
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, ME, FL, TX, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1507 S Tuttle Ave
Sarasota, FL 34239-2608
Phone (212) 734-6621
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95452181 | CA | MD | Registered Nurse |
| 9465064 | FL | MD | Registered Nurse |
| C-APN.0106015-C-NP | CO | MD | Nurse Practitioner |
| C-RXN.0103873-C-NP | CO | MD | Nurse Practitioner |
| 53-85277-112 | KS | MD | Nurse Practitioner |
| 4052520 | KY | MD | Nurse Practitioner |
| CNP261079 | ME | MD | Nurse Practitioner |
| 1228122 | TX | MD | Nurse Practitioner |
| 11018516 | FL | MD | Family Nurse Practitioner |
| 71018172A | IN | MD | Family Nurse Practitioner |
| 908448 | MS | MD | Family Nurse Practitioner |
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1144834151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5375 NW 54TH ST",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330733739",
"telephone_number": "407-756-6853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5375 NW 54TH ST",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330733739",
"telephone_number": "407-756-6853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLESH",
"first_name": "KELLY",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-07",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "C-APN.0106015-C-NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71018172A",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "C-RXN.0103873-C-NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11018516",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9465064",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "908448",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95452181",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "4052520",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ME",
"license": "CNP261079",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1228122",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "53-85277-112",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coconut Creek, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.