Individual provider Active NPI

Kelly Rose Gramer, PA-C

  • Surgical Physician Assistant
  • Naples, FL
National Provider Identifier
1437753316
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9113499 Issued in FL
Practice address
3466 Pine Ridge Rd Ste a
Naples, FL 34109-3883
Phone
(239) 261-2663
Fax
(239) 262-5633
NPI assigned
Nov 23, 2020
Last updated
Aug 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Surgical Physician Assistant 363AS0400X PA9113499 FL Primary

Addresses

Primary practice location

3466 Pine Ridge Rd Ste a
Naples, FL 34109-3883

Mailing address

3466 Pine Ridge Rd Ste a
Naples, FL 34109-3883
Phone (239) 261-2663

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
I20201204001655 FL Practitioner - Physician Assistant 9133530694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joint Replacement Institute LLCGroup PAC ID 2062572720, 16 clinicians

Practice addresses (Care Compare)

3466 Pine Ridge Rd
Suite a
Naples, FL 34109-3883
Phone (239) 261-2663

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.33 of 100Reported as group
Quality
54.45
Promoting interoperability
100
Improvement activities
40
Cost
76.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9113499FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Joint Replacement Institute LLC CurrentSince Sep 11, 2023 Accepting new patients
Neuroscience and Spine Associates Current Accepting new patients

Locations

1250 Pine Ridge Rd
Ste 202
Naples, FL 34108
Phone (239) 325-1135

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

3466 Pine Ridge Rd
Ste A
Naples, FL 34109
Phone (239) 241-2499

Interoperability endpoints

  • Direct secure messaging: kellygramer@nsapl.allscriptsdirect.net
  • Direct secure messaging: kgramer@havigmd.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1437753316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3466 PINE RIDGE RD STE A",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093883",
            "telephone_number": "239-261-2663",
            "fax_number": "239-262-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3466 PINE RIDGE RD STE A",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093883",
            "telephone_number": "239-261-2663",
            "fax_number": "239-262-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAMER",
        "first_name": "KELLY",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9113499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.