Individual provider Active NPI

Kelly Ann Collura, APRN

  • Nurse Practitioner
  • Rockledge, FL
National Provider Identifier
1548738248
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9404112 Issued in FL
Practice address
3260 Murrell Rd Ste 102
Rockledge, FL 32955-4569
Phone
(321) 632-8092
Fax
(321) 632-7520
NPI assigned
Nov 12, 2018
Last updated
Feb 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9404112 FL Primary

Addresses

Primary practice location

3260 Murrell Rd Ste 102
Rockledge, FL 32955-4569

Mailing address

601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone (800) 480-5243

Other identifiers 1

IdentifierTypeStateIssuer
106050000MedicaidFL

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
I20190226000807 FL Practitioner - Nurse Practitioner 8022357607 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Med-Psych Consultants LLCGroup PAC ID 5799115713, 20 clinicians
Florida Medical Associates LLCGroup PAC ID 0648271155, 162 clinicians

Practice addresses (Care Compare)

1507 S Hiawassee Rd
Suite 206
Orlando, FL 32835-5719
Phone 4074459545222

3260 Murrell Rd
Suite 102
Rockledge, FL 32955-4569
Phone (321) 632-8092

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9404112FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Med-Psych Consultants LLC CurrentSince Nov 1, 2025 Accepting new patients
Florida Medical Associates LLC CurrentSince Apr 5, 2025 Accepting new patients
Orlando Family Physicians, LLC CurrentSince Oct 16, 2023 Accepting new patients
Indian River Health Services Inc CurrentSince Oct 30, 2018 Accepting new patients
Indian River Health Services Inc Nurse Practitioner CurrentSince Oct 30, 2018 Accepting new patients
Orlando Inpatient Medicine, PA CurrentSince Nov 1, 2025 Accepting new patients
Orlando Family Physicians, LLC Past Accepting new patients
Idelis Fedeslinda Arias de la Torre PastSince Jun 1, 2021 Accepting new patients
Indian River Memorial Hospital, Inc. Past Accepting new patients
Orlando Family Physicians, LLC PastSince Jan 5, 2025 Accepting new patients

Locations

840 N Cocoa Blvd
Ste C
Cocoa, FL 32922
Phone (321) 522-4000

13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900

20 E Melbourne Ave
Ste 101
Melbourne, FL 32901
Phone (321) 312-1167

1445 N Courtenay Pkwy
Ste 101
Merritt Island, FL 32953
Phone (321) 587-3588

1130 S Semoran Blvd
Orlando, FL 32807
Phone (407) 382-1376

1507 S Hiawassee Rd
Ste 206
Orlando, FL 32835
Phone (407) 445-9545

425 W Colonial Dr
Ste 303
Orlando, FL 32804
Phone (321) 332-6947

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

6900 Tavistock Lakes Blvd
Ste 300
Orlando, FL 32827
Phone (321) 332-6947

811 N Nowell St
Orlando, FL 32808
Phone (407) 259-2383

3260 Murrell Rd
Ste 102
Rockledge, FL 32955
Phone (321) 632-7520

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

2185 Cheney Hwy
Titusville, FL 32780
Phone (321) 269-9800

2185 Cheney Hwy
Ste A
Titusville, FL 32780
Phone (321) 269-9800

1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942

1000 36th St
Ste 2201
Vero Beach, FL 32960

1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: kelly.collura@sl.eclinicaldirectplus.com

Organizations & group practices 10

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 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": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1548738248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S HARBOUR ISLAND BLVD STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025925",
            "telephone_number": "800-480-5243",
            "fax_number": "800-928-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 MURRELL RD STE 102",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554569",
            "telephone_number": "321-632-8092",
            "fax_number": "321-632-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLURA",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9404112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106050000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

Verify at the official NPI Registry.