Individual provider Active NPI

Kelly Lynn Andrews, APRN

  • Family Nurse Practitioner
  • Macclenny, FL
National Provider Identifier
1679149983
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11012232 Issued in FL
Practice address
1230 S 6TH St
Macclenny, FL 32063-4619
Phone
(904) 531-4885
Fax
(904) 584-4368
NPI assigned
May 28, 2021
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11012232 FL
Family Nurse Practitioner 363LF0000X APRN11012232 FL Primary

Addresses

Primary practice location

1230 S 6TH St
Macclenny, FL 32063-4619

Mailing address

1230 S 6TH St
Macclenny, FL 32063-4619
Phone (904) 531-4885

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Kandrews@myluxehealth.com Direct

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
I20210909000788 FL Practitioner - Nurse Practitioner 7012313539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

531 S 6TH St
Macclenny, FL 32063-2605

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11012232FLMDNurse Practitioner
APRN11012232FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Jul 1, 2021 Accepting new patients
Rejuvene LLC Family CurrentSince Oct 24, 2024 Accepting new patients
Kla Enterprises, LLC Dba Luxe Health & Wellness Current Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jul 1, 2021 Accepting new patients

Locations

1515 SW Archer Rd
Gainesville, FL 32608
Phone (352) 265-0916

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1230 S 6th St
Macclenny, FL 32063
Phone (904) 651-6585

521 S 6th St
Macclenny, FL 32063

531 S 6th St
Macclenny, FL 32063

531 S 6th St
Ste C
Macclenny, FL 32063
Phone (904) 478-5790

Interoperability endpoints

  • Direct secure messaging: kelly.andrews.1@31379.direct.athenahealth.com

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 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": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1679149983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 S 6TH ST",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320634619",
            "telephone_number": "904-531-4885",
            "fax_number": "904-584-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 S 6TH ST",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320634619",
            "telephone_number": "904-531-4885",
            "fax_number": "904-584-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11012232",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11012232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kandrews@myluxehealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1230 S 6th St",
            "city": "Macclenny",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320634619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Macclenny, FL

Sources for this page

Verify at the official NPI Registry.