Active NPI
Kelley Dawn Angelidis, FNP
- Adult Health Nurse Practitioner
- Winter Garden, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN11028682
- Practice address
- 436 N Dillard St
Winter Garden, FL 34787-2817 - Phone
- (407) 877-8080
- Fax
- (407) 877-0907
- NPI assigned
- Oct 16, 2023
- Last updated
- Apr 22, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APRN11028682 | FL | Primary |
| Family Nurse Practitioner | 363LF0000X | APRN11028682 | FL |
Addresses
Primary practice location
436 N Dillard St
Winter Garden, FL 34787-2817
Mailing address
436 N Dillard St
Winter Garden, FL 34787-2817
Phone (407) 877-8080
Other practice location 1
7599 W Sand Lake Rd
Orlando, FL 32819-5109
Phone (407) 352-1177
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
436 N Dillard St
Winter Garden, FL 34787-2817
Phone (407) 877-8080
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic LLC | Family | Current | Accepting new patients |
| Cappleman Edwards and Castello MD PA | Current | Accepting new patients | |
| Orlando Physicians Network Inc | Family Medicine | Current | Accepting new patients |
Locations
121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380
12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473
21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560
8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840
7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-1177
436 N Dillard St
Winter Garden, FL 34787
Phone (407) 877-8080
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1568693554
Family Medicine
-
dba Cappleman Medical Group
- Internal Medicine Physician
- Winter Garden, FL
- NPI 1275726218
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
dba Health Central
- General Acute Care Hospital
- Ocoee, FL
- NPI 1033475959
-
dba Express Care
- Urgent Care Clinic/Center
- Ocoee, FL
- NPI 1780022616
Hospital
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
dba Orlando Health South Lake Hospital
- General Acute Care Hospital
- Clermont, FL
- NPI 1336221019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1376325472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "436 N DILLARD ST",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347872817",
"telephone_number": "407-877-8080",
"fax_number": "407-877-0907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 N DILLARD ST",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347872817",
"telephone_number": "407-877-8080",
"fax_number": "407-877-0907"
}
],
"practiceLocations": [
{
"address_1": "7599 W Sand Lake Rd",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328195109",
"country_code": "US",
"telephone_number": "407-352-1177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANGELIDIS",
"first_name": "KELLEY",
"middle_name": "DAWN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-16",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN11028682",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11028682",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Garden, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.