Individual provider Active NPI

Patricia Marie Arenella Kelly, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1891232310
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11041417 Issued in FL
Practice address
2072 Elkins Point Dr
Melbourne, FL 32935-7800
Phone
(407) 242-5788
NPI assigned
Jan 22, 2017
Reactivated
Dec 4, 2025
Last updated
Apr 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11041417 FL Primary
Registered Nurse 163W00000X RN9437974 FL

Addresses

Primary practice location

2072 Elkins Point Dr
Melbourne, FL 32935-7800

Mailing address

2072 Elkins Point Dr
Melbourne, FL 32935-7800
Phone (407) 242-5788

Other practice location 1

401 N Wickham Rd Ste L
Melbourne, FL 32935-8659
Phone (321) 258-6956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3960 Domain CT
Melbourne, FL 32934-7921

401 N Wickham Rd
Suite L
Melbourne, FL 32935-8659

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN9437974FLMDRegistered Nurse
APRN11041417FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1485043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1891232310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2072 ELKINS POINT DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329357800",
            "telephone_number": "407-242-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2072 ELKINS POINT DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329357800",
            "telephone_number": "407-242-5788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 N Wickham Rd Ste L",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329358659",
            "country_code": "US",
            "telephone_number": "321-258-6956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "PATRICIA",
        "middle_name": "MARIE ARENELLA",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-22",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "deactivation_date": "2025-09-08",
        "reactivation_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11041417",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9437974",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.