Individual provider Active NPI

Kellyann G. Florentino, NP, AP-PMN

  • Family Nurse Practitioner
  • Attleboro, MA
National Provider Identifier
1649703547
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN258874 Issued in MA
Practice address
76 Park St
Attleboro, MA 02703-2335
Phone
(508) 431-2026
Fax
(508) 431-2296
NPI assigned
Apr 6, 2017
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN01573 RI
Family Nurse Practitioner 363LF0000X APRN01573 RI
Family Nurse Practitioner 363LF0000X RN258874 MA Primary

Addresses

Primary practice location

76 Park St
Attleboro, MA 02703-2335

Mailing address

76 Park St
Attleboro, MA 02703-2335
Phone (508) 431-2026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20170717000167 MA Practitioner - Nurse Practitioner 4486924966 Reassigns benefits to 5 organizations
I20180806002182 RI Practitioner - Nurse Practitioner 4486924966 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prima Care, PCGroup PAC ID 2567356017, 222 clinicians
Neurology Partners PCGroup PAC ID 1557517596, 4 clinicians

Practice addresses (Care Compare)

2014 Washington St
Newton, MA 02462-1607
Phone (617) 243-6000

277 Pleasant St
Suite 240
Fall River, MA 02721-3005
Phone (508) 676-3292

76 Park St
Attleboro, MA 02703-2335
Phone (508) 431-2026

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN01573RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prima Care, PC CurrentSince Mar 3, 2025 Accepting new patients
Avenir Ventures LLC CurrentSince Sep 13, 2019 Accepting new patients
Prima Care, PC CurrentSince Mar 3, 2025 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Jul 24, 2017 Accepting new patients
Community Healthcare Alliance, PLLC CurrentSince Jun 12, 2023 Accepting new patients
New England Premier Healthcare LTD Nurse Practitioner CurrentSince Oct 15, 2018 Accepting new patients
Mass General Brigham Medical Group Suburban Massachusetts Inc CurrentSince May 12, 2025 Accepting new patients
Neurology Partners PC CurrentSince Oct 16, 2023 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Jul 24, 2017 Accepting new patients

Locations

3854 American Way
Ste A
Baton Rouge, LA 70816
Phone (225) 299-3253

76 Park St
Attleboro, MA 02703
Phone (508) 431-2026

206 Mill Rd
Fairhaven, MA 02719
Phone (508) 973-3000

277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244

277 Pleasant St
Ste 240
Fall River, MA 02721
Phone (500) 300-3271

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

100 Merrimack St
Ste 301E
Lowell, MA 01852
Phone (617) 206-4624

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

480 Hawthorn St
Ste 201
North Dartmouth, MA 02747
Phone (508) 973-9170

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

400 Tradecenter
Ste 5900
Woburn, MA 01801
Phone (617) 468-1115

1 Catamore Blvd
East Providence, RI 02914
Phone (401) 438-0008

262 Poplar St
Woonsocket, RI 02895
Phone (401) 765-2100

Organizations & group practices 9

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 1

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": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1649703547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 PARK ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032335",
            "telephone_number": "508-431-2026",
            "fax_number": "508-431-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 PARK ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032335",
            "telephone_number": "508-431-2026",
            "fax_number": "508-431-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORENTINO",
        "first_name": "KELLYANN",
        "middle_name": "G.",
        "name_prefix": "Mrs.",
        "credential": "NP, AP-PMN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "APRN01573",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN01573",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN258874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Attleboro, MA

Sources for this page

Verify at the official NPI Registry.