Individual provider Active NPI

Kelly Rose Pierga, APRN

  • Family Nurse Practitioner
  • Winter Park, FL
National Provider Identifier
1447912845
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11016894 Issued in FL
Practice address
1573 W Fairbanks Ave Ste 300
Winter Park, FL 32789-4679
Phone
(407) 303-6729
NPI assigned
Oct 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9469762 FL
Nurse Practitioner 363L00000X APRN11016894 FL
Family Nurse Practitioner 363LF0000X APRN11016894 FL Primary

Addresses

Primary practice location

1573 W Fairbanks Ave Ste 300
Winter Park, FL 32789-4679

Mailing address

1573 W Fairbanks Ave Ste 300
Winter Park, FL 32789-4679
Phone (407) 303-6729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240509003639 MA Practitioner - Nurse Practitioner 7810373362 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

55 Highland Ave
Suite 101
Salem, MA 01970-2100
Phone (978) 741-4171

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN9469762FLMDRegistered Nurse
APRN11016894FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LGH Medical Group, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc CurrentSince Feb 21, 2025 Accepting new patients
North Shore Medical Center, Inc. Current Accepting new patients
LGH Professional Services LLC Past Accepting new patients

Locations

25 Fletcher St
Chelmsford, MA 01824
Phone (978) 253-4315

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

354 Merrimack St
Ste 1
Lawrence, MA 01843

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

55 Highland Ave
Ste 101
Salem, MA 01970
Phone (978) 740-2300

Interoperability endpoints

  • Direct secure messaging: pierga.kelly.nsmc@direct.partners.masshiway.net
  • Direct secure messaging: kpierga130303@adventhealth.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1447912845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 W FAIRBANKS AVE STE 300",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894679",
            "telephone_number": "407-303-6729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1573 W FAIRBANKS AVE STE 300",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894679",
            "telephone_number": "407-303-6729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERGA",
        "first_name": "KELLY",
        "middle_name": "ROSE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9469762",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11016894",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11016894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.