Active NPI
Jennifer M Kelsey, ARNP
- Nurse Practitioner
- Winter Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9191787
- Practice address
- 4100 Metric Dr
Suite 200
Winter Park, FL 32792-6837 - Phone
- (407) 681-8720
- Fax
- (407) 681-8729
- NPI assigned
- Nov 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9191787 | FL | Primary |
Addresses
Primary practice location
4100 Metric Dr
Suite 200
Winter Park, FL 32792-6837
Mailing address
807 S Orlando Ave
Suite C
Winter Park, FL 32789-4870
Phone (407) 515-2212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 308888000 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4100 Metric Dr
Suite 200
Winter Park, FL 32792-6832
Phone (407) 681-8720
Hospital & facility affiliations
- Adventhealth Orlando
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9191787 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Associates of Central Florida, P.a. | Current | Accepting new patients | |
| Renal Access of Central Florida LLC | Past | Accepting new patients |
Locations
2501 N Orange Ave
Ste 537N
Orlando, FL 32804
Phone (407) 894-4693
4100 Metric Dr
Ste 200
Winter Park, FL 32792
Phone (407) 681-8720
807 S Orlando Ave
Ste C
Winter Park, FL 32789
Phone (407) 894-4693
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.
-
- Nephrology Physician
- Longwood, FL
- NPI 1346297173
-
- Nephrology Physician
- Altamonte Springs, FL
- NPI 1790009165
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1740460930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 S ORLANDO AVE",
"address_2": "SUITE C",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894870",
"telephone_number": "407-515-2212",
"fax_number": "407-539-0469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 METRIC DR",
"address_2": "SUITE 200",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327926837",
"telephone_number": "407-681-8720",
"fax_number": "407-681-8729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELSEY",
"first_name": "JENNIFER",
"middle_name": "M",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-06",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9191787",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "308888000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.