Individual provider Active NPI

Kelly A Brown, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1306733498
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11040367 Issued in FL
Practice address
9468 Merrifield St
Orlando, FL 32827-3846
Phone
(561) 714-2755
NPI assigned
Jun 20, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 11040367 FL Primary

Addresses

Primary practice location

9468 Merrifield St
Orlando, FL 32827-3846

Mailing address

9468 Merrifield St
Orlando, FL 32827-3846
Phone (561) 714-2755

Other practice location 1

300 N Ronald Reagan Blvd Ste 204
Longwood, FL 32750-4162
Phone (407) 974-6539

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
I20250724001958 FL Practitioner - Nurse Practitioner 8224545330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Still Waters Psychiatry PLLCGroup PAC ID 1052823200, 3 clinicians

Practice addresses (Care Compare)

300 N Ronald Reagan Blvd
Suite 204
Longwood, FL 32750-4162
Phone (407) 974-6539

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11040367FLMDPsychiatric/Mental Health Nurse Practitioner
APRN11037656FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Still Waters Psychiatry PLLC Single Specialty CurrentSince Nov 1, 2025 Accepting new patients
Healing Psychiatry of Florida Inc Single Specialty CurrentSince Jul 21, 2025 Accepting new patients

Locations

1070 Montgomery Rd
Altamonte Springs, FL 32714
Phone (407) 504-7121

108 W Citrus St
Altamonte Springs, FL 32714
Phone (321) 972-9215

300 N Ronald Reagan Blvd
Ste 204
Longwood, FL 32750
Phone (407) 974-6539

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1306733498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9468 MERRIFIELD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328273846",
            "telephone_number": "561-714-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9468 MERRIFIELD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328273846",
            "telephone_number": "561-714-2755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 N Ronald Reagan Blvd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Longwood",
            "state": "FL",
            "postal_code": "327504162",
            "country_code": "US",
            "telephone_number": "407-974-6539",
            "fax_number": "407-550-7174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11040367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.