Individual provider Active NPI

Kellie Kilpatrick Battillo, FNP-C, ARNP

  • Family Nurse Practitioner
  • Palm Coast, FL
National Provider Identifier
1740586288
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9179951 Issued in FL
Practice address
61 Memorial Medical Pkwy Ste 3805
Palm Coast, FL 32164-5982
Phone
(386) 586-1605
Fax
(386) 586-1607
NPI assigned
Feb 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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 APRN9179951 FL Primary

Addresses

Primary practice location

61 Memorial Medical Pkwy Ste 3805
Palm Coast, FL 32164-5982

Mailing address

76 S St Andrews Dr
Ormond Beach, FL 32174-3857
Phone (321) 662-6686

Other practice location 1

76 S St Andrews Dr
Ormond Beach, FL 32174-3857
Phone (321) 662-6686

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
I20191115000545 FL Practitioner - Nurse Practitioner 4183056021 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians

Practice addresses (Care Compare)

60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980
Phone (386) 586-2000

Hospital & facility affiliations

  • AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118
  • Adventhealth Palm Coast Parkway Hospital, Palm Coast, FL, CCN 100363

Merit-based Incentive Payment System (MIPS)

Final score
82.04 of 100Reported as group
Quality
65.4
Promoting interoperability
98
Improvement activities
40
Cost
76.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9179951FLMDFamily Nurse Practitioner

Practice roles (7 of 9)

OrganizationSpecialtyStatusNew patients
Memorial Hospital Flagler Inc. CurrentSince Sep 21, 2024 Accepting new patients
Gastro Health, LLC CurrentSince Oct 10, 2022 Accepting new patients
Gastro Health LLC Current Accepting new patients
Gastro Health, LLC CurrentSince Oct 10, 2022 Accepting new patients
Memorial Hospital Flagler Inc CurrentSince Sep 21, 2024 Accepting new patients
Florida Hospital Healthcare Partners, Inc CurrentSince Sep 17, 2024 Accepting new patients
Adventhealth Primary Care Network Inc Family Past Accepting new patients

Locations

4675 Linton Blvd
Ste 202
Delray Beach, FL 33445
Phone (561) 495-5700

3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333

1722 State Road 44
New Smyrna Beach, FL 32168
Phone (386) 427-0390

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

7243 Della Dr
Orlando, FL 32819
Phone (407) 381-7366

120 Cypress Edge Dr
Ste 210
Palm Coast, FL 32164
Phone (386) 445-4750

61 Memorial Medical Pkwy
Ste 3805
Palm Coast, FL 32164
Phone (386) 586-1605

120 Cypress Edge Dr
Ste 102
Palm Coast, FL 32164
Phone (386) 586-4280

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: kbattillo71174@adventhealth.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1296518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1740586288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 S ST ANDREWS DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743857",
            "telephone_number": "321-662-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MEMORIAL MEDICAL PKWY STE 3805",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321645982",
            "telephone_number": "386-586-1605",
            "fax_number": "386-586-1607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "76 S St Andrews Dr",
            "address_purpose": "LOCATION",
            "city": "Ormond Beach",
            "state": "FL",
            "postal_code": "321743857",
            "country_code": "US",
            "telephone_number": "321-662-6686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATTILLO",
        "first_name": "KELLIE",
        "middle_name": "KILPATRICK",
        "name_prefix": "Mrs.",
        "credential": "FNP-C, ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-01",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9179951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.