Kelly Jo Fluitt, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN000956 Issued in NV

Practice address

1200 Mountain St
Carson City, NV 89703-3821

Phone

(775) 882-1324

Fax

(775) 882-2382

NPI assigned

Jul 30, 2007

Last updated

Feb 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Jo Dory Former name

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Nurse Practitioner

Education

University of Nevada School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carson Medical Group Professional CorporationGroup PAC ID 4183520778, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carson Tahoe Regional Medical Center Hospital, Carson City, NV, CCN 290019

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19482/brand/1/csg/1/fhir/r4
• Direct secure messaging: kelly.fluitt@cmg1.eclinicaldirectplus.com

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.

• Carson Medical Group Professional Corporation

  dba Carson Medical Group

  • Family Medicine Physician
  • Carson City, NV
  • NPI 1780694620
  Medicare reassignment Care Compare group
• Urology Nevada LTD

  dba Urology Nevada

  • Urology Physician
  • Reno, NV
  • NPI 1316162795
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Carson Tahoe Regional Healthcare

  • General Acute Care Hospital
  • Carson City, NV
  • NPI 1255360160
  Care Compare affiliation
• Carson Tahoe Regional Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Carson City, NV
  • NPI 1568281988

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1700076460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MOUNTAIN ST STE 230",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033867",
            "telephone_number": "775-882-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MOUNTAIN ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033821",
            "telephone_number": "775-882-1324",
            "fax_number": "775-882-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLUITT",
        "first_name": "KELLY",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN000956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "DORY",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cecille Florentino, RPH
• Angel Alarcon Flores, PHARM D
• Evelyn Flores
• Anna Fluellen
• David Fluitt
• Fly Wheel Center NV LLC
• Darin Mark Flynn, M.D.
• Charlene Manns Foerschler, FNP
• Foot & Ankle Clinic, LLC
• John Alexander Forest III, M.D.

• Nurse Practitioner in Carson City, NV
• Providers in Carson City, NV by specialty
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.