Individual provider Active NPI

Kelly Elizabeth Coffers, PA-C

  • Surgical Physician Assistant
  • Naples, FL
National Provider Identifier
1326671553
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9112910 Issued in FL
Practice address
877 111TH Ave N Ste 1
Naples, FL 34108-1853
Phone
(239) 594-8002
Fax
(877) 334-1886
NPI assigned
Feb 17, 2020
Last updated
May 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA9112910 FL Primary

Addresses

Primary practice location

877 111TH Ave N Ste 1
Naples, FL 34108-1853

Mailing address

3451 Pine Ridge Rd BLDG 1
Naples, FL 34109-3922
Phone (239) 594-8002

Other identifiers 1

IdentifierTypeStateIssuer
ZH46YOtherFLBLUE CROSS FLORIDA

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
I20200409001522 FL Practitioner - Physician Assistant 3971932146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6101 Pine Ridge Rd
Naples, FL 34119-3900
Phone (239) 566-3434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9112910FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neuroscience and Spine Associates PL CurrentSince Aug 1, 2022 Accepting new patients
Neuroscience and Spine Associates PL CurrentSince Aug 1, 2022 Accepting new patients
Neuroscience and Spine Associates Current Accepting new patients
Neuroscience and Spine Associates PL PastSince Nov 18, 2025 Accepting new patients
Neuroscience and Spine Associates PL PastSince Feb 18, 2024 Accepting new patients
Neuroscience and Spine Associates PL Physician Assistant Past Accepting new patients

Locations

8380 Riverwalk Park Blvd
Ste 320
Fort Myers, FL 33919
Phone (239) 437-1121

3451 Pine Ridge Rd
Bldg 601
Naples, FL 34109
Phone (239) 449-3072

3451 Pine Ridge Rd
Ste 601
Naples, FL 34109

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

6101 Pine Ridge Rd
Ste 101
Naples, FL 34119
Phone (239) 449-3072

877 111th Ave N
Ste 1
Naples, FL 34108
Phone (239) 594-8002

Interoperability endpoints

  • Direct secure messaging: kellycarney@nsapl.allscriptsdirect.net

Organizations & group practices 6

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": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1326671553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 PINE RIDGE RD BLDG 1",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093922",
            "telephone_number": "239-594-8002",
            "fax_number": "877-334-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 111TH AVE N STE 1",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081853",
            "telephone_number": "239-594-8002",
            "fax_number": "877-334-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFERS",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9112910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS FLORIDA",
            "identifier": "ZH46Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.