Individual provider Active NPI

Kelly Omalley, NP

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1639587702
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9477789 Issued in FL
Practice address
601 E Rollins St
Orlando, FL 32803-1248
Phone
(407) 303-6413
Fax
(440) 233-0194
NPI assigned
Aug 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN302372 OH
Family Nurse Practitioner 363LF0000X APRN9477789 FL Primary

Addresses

Primary practice location

601 E Rollins St
Orlando, FL 32803-1248

Mailing address

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-6413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VT, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20180420000031 FL Practitioner - Nurse Practitioner 9537381256 Reassigns benefits to 10 organizations
I20251105001933 VT Practitioner - Nurse Practitioner 9537381256 Reassigns benefits to 1 organization
I20251218000240 VA Practitioner - Nurse Practitioner 9537381256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians
Bluewater Emergency Partners of Brunswick, LLCGroup PAC ID 3375774227, 151 clinicians
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians
Lake Wales Emergency Physicians, LLCGroup PAC ID 8022270461, 36 clinicians
Florida Emergency Physicians Kang and Associates MD LLCGroup PAC ID 0143113878, 318 clinicians
Ridgewood Emergency Group, LLCGroup PAC ID 6305199597, 43 clinicians
Inphynet Contracting Services LLCGroup PAC ID 7416865811, 169 clinicians

Practice addresses (Care Compare)

10461 Quality Dr
Spring Hill, FL 34609-9634
Phone (352) 576-5400

17 Belmont Ave
Brattleboro, VT 05301-3498
Phone (802) 257-0341

2621 Grove Ave
Richmond, VA 23220-4308
Phone (804) 254-5100

410 S 11TH St
Lake Wales, FL 33853-4203
Phone (863) 676-1433

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600

6945 Cypress Gardens Blvd
Winter Haven, FL 33884-3572
Phone (863) 422-4971

951 N Washington Ave
Titusville, FL 32796-2194
Phone (321) 268-6111

Hospital & facility affiliations

  • Brattleboro Memorial Hospital Hospital, Brattleboro, VT, CCN 470011
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Quality
88.09
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9477789FLMDFamily Nurse Practitioner
RN302372OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Emergency Physicians Kang and Associates MD LLC CurrentSince Sep 1, 2025 Accepting new patients
Paragon Contracting Services LLC CurrentSince Jun 5, 2019 Accepting new patients
Lake Wales Emergency Physicians, LLC CurrentSince Jan 10, 2026 Accepting new patients
Emergency Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients
Hospital Physician Services of Florida PA CurrentSince Feb 1, 2026 Accepting new patients
Emergency Coverage, LLC CurrentSince Oct 22, 2025 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Family CurrentSince Dec 11, 2020 Accepting new patients
Ridgewood Emergency Group, LLC CurrentSince Jan 10, 2026 Accepting new patients
Adventist Health System Sunbelt, Inc. Family CurrentSince Dec 11, 2020 Accepting new patients
Bluewater Emergency Partners of Brunswick, LLC CurrentSince Aug 16, 2025 Accepting new patients
Inphynet Contracting Services LLC CurrentSince Jan 7, 2026 Accepting new patients
Paragon Emergency Services LLC CurrentSince Jun 5, 2019 Accepting new patients
Ridgewood Emergency Group, LLC CurrentSince Jan 10, 2026 Accepting new patients
Polk Emergency Group LLC CurrentSince Sep 12, 2021 Accepting new patients

Locations (25 of 28)

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

2200 Osprey Blvd
Bartow, FL 33830
Phone (863) 519-1402

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

1909 E Highway 50
Clermont, FL 34711
Phone (352) 717-3800

40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

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

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

3065 James L Redman Pkwy
Plant City, FL 33566
Phone (813) 759-4900

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

12530 US Highway 301 S
Riverview, FL 33578
Phone (813) 413-3888

10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

5234 E Fowler Ave
Temple Terrace, FL 33617
Phone (813) 496-2744

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

6945 Cypress Gardens Blvd
Winter Haven, FL 33884
Phone (863) 419-2496

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1406851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1639587702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E ROLLINS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031248",
            "telephone_number": "407-303-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E ROLLINS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031248",
            "telephone_number": "407-303-6413",
            "fax_number": "440-233-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMALLEY",
        "first_name": "KELLY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-01",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN302372",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9477789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.