Tracian Patrice Kelly, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2020001370 Issued in FL

Practice address

1650 Osceola Dr
West Palm Beach, FL 33409-5038

Phone

(561) 803-8880

NPI assigned

Oct 23, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Atlantic UniversityGroup PAC ID 8921097171, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Florida Atlantic University

  • Gerontology Nurse Practitioner
  • Boca Raton, FL
  • NPI 1164591954
  Medicare reassignment Care Compare group NPD
• Mason Hershorin MSN Arnp Inc.

  • Nurse Practitioner
  • Davie, FL
  • NPI 1174601041
  Medicare reassignment NPD
• Florida Atlantic University

  • Federally Qualified Health Center (FQHC)
  • West Palm Beach, FL
  • NPI 1093026619

  Psychiatric/Mental Health

  NPD
• Integrated-1 Corp

  • Assisted Living Facility
  • Cape Coral, FL
  • NPI 1841543550
  NPD (past)

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1467824904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 OSCEOLA DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334095038",
            "telephone_number": "561-803-8880",
            "fax_number": "877-409-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 OSCEOLA DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334095038",
            "telephone_number": "561-803-8880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4217 SW 64th Ave",
            "address_2": "SUITE #1",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333143446",
            "country_code": "US",
            "telephone_number": "954-432-1812",
            "fax_number": "954-430-3261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 8th St",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334013606",
            "country_code": "US",
            "telephone_number": "561-803-8880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "TRACIAN",
        "middle_name": "PATRICE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-23",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9271088",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "2020001370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Scott Kellner, D.M.D., DDS
• Chauna Jasmine Kelly
• Inez N/a Kelly, M.A
• Kadiyah Kelly
• Kay Frances Kelly, MS, PT, NHA
• Donald Kemmer
• Brandon Kent Kemmerer, CAA
• Sarina Tsien Chun Ken, APRN
• Danielle Kennedy, MSW
• Julie Ann Kennedy, D.M.D.

• Psychiatric/Mental Health Nurse Practitioner in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.

Verify at the official NPI Registry.