Individual provider Active NPI

Kelly Dylik, APRN FNP-C

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1184297103
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11014256 Issued in FL
Practice address
8931 Colonial Center Dr Ste 400
Fort Myers, FL 33905-7809
Phone
(239) 334-6626
NPI assigned
Jul 19, 2021
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11014256 FL
Family Nurse Practitioner 363LF0000X APRN11014256 FL Primary
Gynecologic Oncology Physician 207VX0201X 11014256 FL

Addresses

Primary practice location

8931 Colonial Center Dr Ste 400
Fort Myers, FL 33905-7809

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-2123

Other practice location 1

112 Maverick Ct
Granbury, TX 76049-1381
Phone (888) 731-8994

Other practice location 2

139 Centre St Ph 120
New York, NY 10013-4559
Phone (888) 731-8994

Other practice location 3

111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Phone (888) 731-8994

Other identifiers 1

IdentifierTypeStateIssuer
111570100MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kdylik272573@Direct.leememorial.org Direct LEE HEALTH SYSTEM INC

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
I20210901002116 FL Practitioner - Nurse Practitioner 0941606891 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Florida Surgical Associates LLCGroup PAC ID 4486031630, 6 clinicians

Practice addresses (Care Compare)

3050 Champion Ring Rd
Fort Myers, FL 33905-5599
Phone (941) 882-0805

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11014256FLMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesiscare USA of Florida LLC Current Accepting new patients
Genesiscare USA of Florida LLC Gynecologic Oncology CurrentSince Aug 2, 2021 Accepting new patients
South Florida Surgical Associates, LLC CurrentSince Jun 20, 2023 Accepting new patients
Genesiscare USA of Florida LLC CurrentSince Aug 2, 2021 Accepting new patients
Lee Health System Inc CurrentSince Dec 20, 2025 Accepting new patients
Lee Health System Inc Nurse Practitioner CurrentSince Dec 20, 2025 Accepting new patients
Integrative Womens Care PC Past Accepting new patients

Locations

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

3050 Champion Ring Rd
Fort Myers, FL 33905
Phone (239) 313-2900

8925 Colonial Center Dr
Ste 1001
Fort Myers, FL 33905
Phone (239) 343-5864

8931 Colonial Center Dr
Ste 301
Fort Myers, FL 33905
Phone (239) 277-0479

8931 Colonial Center Dr
Ste 400
Fort Myers, FL 33905
Phone (239) 319-3714

1885 SW Health Pkwy
Naples, FL 34109
Phone (239) 593-3030

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: kdylik272573@direct.leememorial.org
  • Direct secure messaging: kelly.dylik.1@27069.direct.athenahealth.com

Organizations & group practices 7

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": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1184297103",
    "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": "239-343-2123",
            "fax_number": "239-343-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8931 COLONIAL CENTER DR STE 400",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339057809",
            "telephone_number": "239-334-6626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Maverick Ct",
            "address_purpose": "LOCATION",
            "city": "Granbury",
            "state": "TX",
            "postal_code": "760491381",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "139 Centre St Ph 120",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100134559",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 N Orange Ave Ste 800",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328012381",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYLIK",
        "first_name": "KELLY",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11014256",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11014256",
            "primary": true
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "FL",
            "license": "11014256",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111570100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdylik272573@Direct.leememorial.org",
            "affiliation": "Y",
            "affiliationName": "LEE HEALTH SYSTEM INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2776 Cleveland Ave",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339015864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.