Adel Marie Kelly, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11036477 Issued in FL

Practice address

1931 Martin Luther King Jr Blvd
Panama City, FL 32405-5314

Phone

(904) 515-2656

Fax

(850) 804-1705

NPI assigned

Dec 5, 2024

Last updated

Feb 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Access Point Health Group, LLC

  • Family Medicine Physician
  • Panama City, FL
  • NPI 1598388621
  Medicare reassignment NPD

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1841006814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 MARTIN LUTHER KING JR BLVD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324055314",
            "telephone_number": "850-740-5010",
            "fax_number": "850-804-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 MARTIN LUTHER KING JR BLVD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324055314",
            "telephone_number": "904-515-2656",
            "fax_number": "850-804-1705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Conscience Way",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa Beach",
            "state": "FL",
            "postal_code": "324598451",
            "country_code": "US",
            "telephone_number": "310-418-5135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ADEL",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-05",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11036477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joe Mac Keller, DDS MS
• Brandi Nichole Kelley
• Justin Patrick Kelley, CRNA
• Patrick Mark Kelley, M.D.
• Timothy Buddy Kelley, RPH
• Charlie N Kelly, ARNP-BC
• Jerry B Kelly, R.PH.
• Kareem Kelly
• Wade Kelly, RN
• Jessica Leigh Kemp, MS

• Nurse Practitioner in Panama City, FL
• Providers in Panama City, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.