Individual provider Active NPI

Kellie Annette Serrato, APRN FNP-C

  • Family Nurse Practitioner
  • Apalachicola, FL
National Provider Identifier
1659948198
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11013349 Issued in FL
Practice address
257 Prado St
Apalachicola, FL 32320-1857
Phone
(850) 323-1016
NPI assigned
Jun 4, 2021
Last updated
Aug 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11013349 FL Primary

Addresses

Primary practice location

257 Prado St
Apalachicola, FL 32320-1857

Mailing address

257 Prado St
Apalachicola, FL 32320-1857
Phone (850) 323-1016

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
I20210629000111 FL Practitioner - Nurse Practitioner 8426459413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chaim Gitelis DO PCGroup PAC ID 6507090396, 18 clinicians

Practice addresses (Care Compare)

333 W 41St St
Suite 414
Miami Beach, FL 33140-3608
Phone (212) 734-6621

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chaim Gitelis DO PC CurrentSince May 13, 2025 Accepting new patients

Locations

333 W 41st St
Ste 414
Miami Beach, FL 33140
Phone (305) 538-8998

33 Corporate Dr
Orangeburg, NY 10962
Phone (732) 482-1664

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1659948198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 PRADO ST",
            "city": "APALACHICOLA",
            "state": "FL",
            "postal_code": "323201857",
            "telephone_number": "850-323-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 PRADO ST",
            "city": "APALACHICOLA",
            "state": "FL",
            "postal_code": "323201857",
            "telephone_number": "850-323-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRATO",
        "first_name": "KELLIE",
        "middle_name": "ANNETTE",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11013349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apalachicola, FL

Sources for this page

Verify at the official NPI Registry.