Kimberly Denise Kelsey, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5012591 Issued in NC

Practice address

3800 S Ocean Dr Ste 209
Hollywood, FL 33019-2915

Phone

(305) 466-9988

NPI assigned

Nov 27, 2019

Last updated

Jul 20, 2026By 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 5

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC, SC, GA, FL, KY, VA6 enrollments

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 6

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

QSM-FL, IncGroup PAC ID 0648548982, 19 clinicians

QSM-NC PAGroup PAC ID 1052695798, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations (25 of 46)

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.

• QSM-NC, PA

  • Surgery Physician
  • Durham, NC
  • NPI 1881136893

  Family

  Medicare reassignment Care Compare group NPD
• QSM-FL, Inc

  • Surgery Physician
  • Hollywood, FL
  • NPI 1609318617
  Medicare reassignment Care Compare group
• QSM-Ky, Inc

  • General Practice Physician
  • Hollywood, FL
  • NPI 1114539202

  Family, KY

  Medicare reassignment NPD
• Quality Surgical Management Inc

  • Surgery Physician
  • Hollywood, FL
  • NPI 1376758904
  Medicare reassignment NPD
• QSM-Ga, Inc

  • Surgery Physician
  • Atlanta, GA
  • NPI 1356852123

  Family

  Medicare reassignment NPD
• QSM-VA Inc

  • Surgery Physician
  • Galax, VA
  • NPI 1861182537

  Family

  Medicare reassignment NPD
• Quality Surgical Management SC PA

  • Surgery Physician
  • North Augusta, SC
  • NPI 1508289638

  Family

  Medicare reassignment NPD

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1548807399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S OCEAN DR STE 209",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192915",
            "telephone_number": "800-226-8874",
            "fax_number": "305-466-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 S OCEAN DR STE 209",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192915",
            "telephone_number": "305-466-9988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "945 W Russell St",
            "address_purpose": "LOCATION",
            "city": "Elkhorn City",
            "state": "KY",
            "postal_code": "415229032",
            "country_code": "US",
            "telephone_number": "800-226-8874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Talisman Dr",
            "address_purpose": "LOCATION",
            "city": "North Augusta",
            "state": "SC",
            "postal_code": "298414032",
            "country_code": "US",
            "telephone_number": "800-226-8874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 College Dr",
            "address_purpose": "LOCATION",
            "city": "Flat Rock",
            "state": "NC",
            "postal_code": "287317756",
            "country_code": "US",
            "telephone_number": "800-226-8874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1303 Health Dr",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "285604371",
            "country_code": "US",
            "telephone_number": "305-466-9988",
            "fax_number": "305-466-9989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELSEY",
        "first_name": "KIMBERLY",
        "middle_name": "DENISE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-27",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012591",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11022550",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3018868",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024185391",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "27012",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119811300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "201389",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED NURSE PRACTITIONER",
            "identifier": "5012591",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nickelle Anne Kellough, OD
• Askari Imani Kelly
• Laquinta Kelly
• Rachael Kelly
• Stacey Kelly
• Kelvin Lantigua, DMD, PA (Total Dental & Denture Care)
• Lori E Kelvy, NURSE PRACTITIONER
• Alexia Monay Kemp, COTA/L
• Ken Care Services Inc
• Ken Care Services Inc

• Family Nurse Practitioner in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.