NPIMap

Individual provider Active NPI

Kristin E Clemons, MD

  • Physical Medicine & Rehabilitation Physician
  • Kissimmee, FL
National Provider Identifier
1376530618
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME137481 Issued in FL
Practice address
4950 Calypso Cay Way
Kissimmee, FL 34746-5520
Phone
(872) 231-3162
NPI assigned
Oct 3, 2005
Last updated
Jan 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 079600 MI
Physical Medicine & Rehabilitation Physician 208100000X ME137481 FL Primary
Physical Medicine & Rehabilitation Physician 208100000X 52430-20 WI

Addresses

Primary practice location

4950 Calypso Cay Way
Kissimmee, FL 34746-5520

Mailing address

1317 Edgewater Dr # 2945
Orlando, FL 32804-6350
Phone (407) 538-5921

Other identifiers 5

IdentifierTypeStateIssuer
250E26047OtherMIBLUE CROSS BLUE SHIELD MI
101476800MedicaidFL
4396267MedicaidMI
P00772226CD3624OtherWIRR MEDICARE
LELVIKRIOtherWIMERCYCARE INSURANCE

Other names 1

  • Dr. Kristin E Lelvis Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kclemons30725@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL, FL, MT4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20090217000676 WI Practitioner - Physical Medicine and Rehabilitation 5698830115 Reassigns benefits to 2 organizations
I20170626000086 IL Practitioner - Pediatric MedicinePractitioner - Physical Medicine and Rehabilitation 5698830115 Reassigns benefits to 1 organization
I20190117002853 FL Practitioner - Physical Medicine and Rehabilitation 5698830115 Reassigns benefits to 5 organizations
I20250819004246 MT Practitioner - Physical Medicine and Rehabilitation 5698830115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians
A Helping Hands Physicians Group LLCGroup PAC ID 8921431891, 16 clinicians

Practice addresses (Care Compare)

1201 Oakbridge Pkwy
Lakeland, FL 33803-5945
Phone (863) 279-1600

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

267 Osprey Hammock TRL
Sanford, FL 32771-8117
Phone (407) 545-6232

3572 Hesper Rd
Billings, MT 59102-6891
Phone (406) 413-6200

835 S Van Buren St
Green Bay, WI 54301-3526
Phone (920) 496-4700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME137481FLMDPhysical Medicine & Rehabilitation Physician
079600MIMDPhysical Medicine & Rehabilitation Physician
52430-20WIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Health Physicians CurrentSince May 20, 2017 Accepting new patients
Mercy Health System Corporation Current Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Nov 3, 2025 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Dec 2, 2025 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Aug 1, 2019 Accepting new patients
St. Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince Dec 2, 2025 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Nov 3, 2025 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Dec 2, 2025 Accepting new patients
Lifepoint Rehab Physician Services LLC Physical Medicine & Rehabilitation CurrentSince Jun 1, 2025 Accepting new patients
St Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince Dec 2, 2025 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Aug 1, 2019 Accepting new patients
National Health Rehabilitation LLC Physical Medicine & Rehabilitation CurrentSince Oct 13, 2025 Accepting new patients
A Helping Hands Physicians Group LLC CurrentSince Nov 1, 2025 Accepting new patients
Physiaservpc Physical Medicine & Rehabilitation Past Accepting new patients
Sacred Heart Rehabilitation Institute, Inc. PastSince Jun 21, 2022 Accepting new patients
The Rehabilitation Hospital of Montana, LLC Past Accepting new patients
Upper Peninsula Rehabilitation Medicine Associates P.C. Physical Medicine & Rehabilitation PastSince Sep 3, 2019 Accepting new patients

Locations

1615 Miami Rd
Ft Lauderdale, FL 33316
Phone (954) 523-5673

4950 Calypso Cay Way
Kissimmee, FL 34746
Phone (321) 286-3300

1201 Oakbridge Pkwy
Lakeland, FL 33803
Phone (863) 279-1600

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

14305 Collier Blvd
Naples, FL 34119
Phone (239) 281-9252

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

32 W Gore St
Ste 5FL
Orlando, FL 32806
Phone (321) 841-3820

2811 Campus Hill Dr
Tampa, FL 33612
Phone (813) 972-9700

1730 Mayo Dr
Tavares, FL 32778
Phone (352) 525-3001

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

3572 Hesper Rd
Billings, MT 59102
Phone (406) 413-6200

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: kclemons27310@orlandohealth.medalliesdirect.net
  • Direct secure messaging: kclemons30725@ewd.direct.hshs.org
  • Direct secure messaging: kristen.clemons.1@4690.direct.athenahealth.com

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1376530618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 EDGEWATER DR # 2945",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046350",
            "telephone_number": "407-538-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 CALYPSO CAY WAY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347465520",
            "telephone_number": "872-231-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMONS",
        "first_name": "KRISTIN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "079600",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME137481",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "52430-20",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "250E26047",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101476800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4396267",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00772226CD3624",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCYCARE INSURANCE",
            "identifier": "LELVIKRI",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kclemons30725@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "835 S Van Buren St",
            "city": "Green Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "543013526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "LELVIS",
            "middle_name": "E",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.