Individual provider Active NPI

Kellie L Herrington, ARNP

  • Adult Health Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1891313334
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11008278 Issued in FL
Practice address
240 N Wickham Rd
Melbourne, FL 32935-8662
Phone
(321) 541-1777
Fax
(321) 541-1786
NPI assigned
Jul 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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 RN9369293 FL
Adult Health Nurse Practitioner 363LA2200X APRN11008278 FL Primary

Addresses

Primary practice location

240 N Wickham Rd
Melbourne, FL 32935-8662

Mailing address

7415 Tropicana Ave
Melbourne, FL 32904-1607
Phone (321) 615-7287

Other practice location 1

1600 Sarno Rd Ste E
Melbourne, FL 32935-4938
Phone (321) 768-9151

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
I20200818000489 FL Practitioner - Nurse Practitioner 4587080882 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, shared by 10 NPIs, 257 clinicians
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

2225 S Babcock St
Suite 110
Melbourne, FL 32901-5305
Phone (321) 425-4321

240 N Wickham Rd
Suite 104
Melbourne, FL 32935-8663
Phone (321) 541-1777

3680 N Wickham Rd
Suite B
Melbourne, FL 32935-2327
Phone (321) 255-5500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11008278FLMDAdult Health Nurse Practitioner
RN9369293FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Mar 1, 2025 Accepting new patients
Steward Medical Group, Inc. CurrentSince Jul 11, 2022 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Mar 1, 2025 Accepting new patients
Srinivas Dontineni MD PA CurrentSince Jul 15, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince Jul 11, 2022 Accepting new patients
Stewart and Stewart a Medical Corporation Past Accepting new patients

Locations

2428 Clearlake Rd
Bldg K
Cocoa, FL 32922
Phone (321) 368-3862

240 N Wickham Rd
Melbourne, FL 32935
Phone (321) 308-5050

240 N Wickham Rd
Ste 104
Melbourne, FL 32935
Phone (321) 242-1325

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

8000 Ron Beatty Blvd
Ste A-3
Sebastian, FL 32976
Phone (772) 664-1388

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: kellie.herrington.1@15594.direct.athenahealth.com

Organizations & group practices 6

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 1

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": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1891313334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7415 TROPICANA AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329041607",
            "telephone_number": "321-615-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358662",
            "telephone_number": "321-541-1777",
            "fax_number": "321-541-1786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Sarno Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329354938",
            "country_code": "US",
            "telephone_number": "321-768-9151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRINGTON",
        "first_name": "KELLIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "RN9369293",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11008278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.