Kellie Marie Mueller, P.A

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PAT9106732 Issued in FL

Practice address

1950 Rockledge Blvd
Suite 101
Rockledge, FL 32955-3763

Phone

(321) 636-0005

NPI assigned

Sep 20, 2012

Last updated

Sep 20, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Minier Waterford Lakes LLC

  • Urgent Care Clinic/Center
  • Orlando, FL
  • NPI 1417155730
  Medicare reassignment

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1447501226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 ROCKLEDGE BLVD",
            "address_2": "SUITE 101",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553763",
            "telephone_number": "321-636-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 ROCKLEDGE BLVD",
            "address_2": "SUITE 101",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553763",
            "telephone_number": "321-636-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "KELLIE",
        "middle_name": "MARIE",
        "credential": "P.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PAT9106732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Morales
• Maria Luz Velasco Morales, PHYSICAL THERAPIST
• Beth S Morlang, RD, LDN
• Scott Lee Mowery
• Jennifer Mucha
• Murali Krishna MD PA
• Michael Murphy
• Robin Murphy
• Gillian E. Murray, LCSW
• Kelly J Murray

• Medical Physician Assistant in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.