Individual provider Active NPI

Kelsey Roberts, APRN

  • Family Nurse Practitioner
  • New Smyrna, FL
National Provider Identifier
1679152300
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11002358 Issued in FL
Practice address
519 N Dixie Fwy
New Smyrna, FL 32168-6707
Phone
(407) 299-7333
NPI assigned
Apr 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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 11002358 FL
Family Nurse Practitioner 363LF0000X 11002358 FL Primary

Addresses

Primary practice location

519 N Dixie Fwy
New Smyrna, FL 32168-6707

Mailing address

519 N Dixie Fwy
New Smyrna, FL 32168-6707
Phone (407) 299-7333

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
I20210422000208 FL Practitioner - Nurse Practitioner 9133537616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 W Gore St
Suite 602
Orlando, FL 32806-1051
Phone (407) 299-7333

25 Windsormere Way
Suite 101
Oviedo, FL 32765-6509
Phone (407) 299-7333

261 E Airport Blvd
Sanford, FL 32773-8002
Phone (407) 299-7333

519 N Dixie Fwy
New Smyrna Beach, FL 32168-6707
Phone (407) 299-7333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11002358FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Florida Dermatology Associates P.a. CurrentSince May 3, 2021 Accepting new patients
Mid-Florida Dermatology Associates PastSince Jun 22, 2021 Accepting new patients

Locations

519 N Dixie Fwy
New Smyrna Beach, FL 32168

7652 Ashley Park Ct
Ste 305
Orlando, FL 32835
Phone (407) 839-0127

100 W Gore St
Ste 602
Orlando, FL 32806
Phone (407) 839-3999

25 Windsormere Way
Ste 101
Oviedo, FL 32765

261 E Airport Blvd
Sanford, FL 32773

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1679152300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 N DIXIE FWY",
            "city": "NEW SMYRNA",
            "state": "FL",
            "postal_code": "321686707",
            "telephone_number": "407-299-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 N DIXIE FWY",
            "city": "NEW SMYRNA",
            "state": "FL",
            "postal_code": "321686707",
            "telephone_number": "407-299-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KELSEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-08",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11002358",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11002358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna, FL

Sources for this page

Verify at the official NPI Registry.