Individual provider Active NPI

Kerry Lennard Neall, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Clermont, FL
National Provider Identifier
1649297078
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
ME0053969 Issued in FL
Practice address
1900 Don Wickham Dr
Emergency Department
Clermont, FL 34711-1979
Phone
(352) 241-7180
Fax
(352) 241-7184
NPI assigned
Jul 15, 2006
Last updated
Mar 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X DR.0076703 CO
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X ME0053969 FL Primary
Family Medicine Physician 207Q00000X DR.0076703 CO
Family Medicine Physician 207Q00000X ME0053969 FL

Addresses

Primary practice location

1900 Don Wickham Dr
Emergency Department
Clermont, FL 34711-1979

Mailing address

1900 Don Wickham Dr
Clermont, FL 34711-1979
Phone (352) 241-7180

Other identifiers 3

IdentifierTypeStateIssuer
1803209MedicaidFL
378600300MedicaidFL
062306700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090325000433 FL Practitioner - Emergency MedicinePractitioner - Family Practice 9335206069 Reassigns benefits to 1 organization
I20260217003670 CO Practitioner - Emergency MedicinePractitioner - Family Practice 9335206069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Loma Linda University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

602 N 6TH St W
Cheyenne Wells, CO 80810-5125
Phone (719) 767-5661

615 W 5TH St N
Cheyenne Wells, CO 80810
Phone (719) 767-5669

PO Box
Cheyenne Wells, CO 80810

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.2 of 100Reported as group
Quality
78.64
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0067390FLMDEmergency Medical Services (Emergency Medicine) Physician
DR.0076703COMDFamily Medicine Physician
ME0053969FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of Central Florida LLP CurrentSince Mar 1, 2001 Accepting new patients
Keefe Memorial Health Service District CurrentSince Mar 1, 2026 Accepting new patients
Keefe Memorial Health Service District CurrentSince Mar 1, 2026 Accepting new patients
Florida Emergency Physicians Kang and Associates MD LLC Emergency Medical Services Past Accepting new patients

Locations

602 N 6th St W
Cheyenne Wls, CO 80810
Phone (719) 767-5661

102 E 2nd Ave
Kit Carson, CO 80825
Phone (719) 962-3501

1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

1414 S Orange Ave
Orlando, FL 32806
Phone (407) 741-9418

1414 S Orange Ave
#112
Orlando, FL 32806
Phone (407) 767-1200

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, 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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1649297078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 DON WICKHAM DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111979",
            "telephone_number": "352-241-7180",
            "fax_number": "352-241-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 DON WICKHAM DR",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111979",
            "telephone_number": "352-241-7180",
            "fax_number": "352-241-7184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEALL",
        "first_name": "KERRY",
        "middle_name": "LENNARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CO",
            "license": "DR.0076703",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "FL",
            "license": "ME0053969",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0076703",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0053969",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1803209",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378600300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062306700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.