Individual provider Active NPI

Kelly Lee Morgado, PA

  • Physician Assistant
  • Vero Beach, FL
National Provider Identifier
1992715072
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 9103105 Issued in FL
Practice address
410 4TH CT
Vero Beach, FL 32962-1814
Phone
(502) 293-5135
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9103105 FL
Physician Assistant 363A00000X PA 9103105 FL Primary

Addresses

Primary practice location

410 4TH CT
Vero Beach, FL 32962-1814

Mailing address

3851 Virginia Ave
Fort Pierce, FL 34981-5515
Phone (772) 882-4919

Other practice location 1

3851 Virginia Ave
Fort Pierce, FL 34981-5515
Phone (772) 882-4919

Other practice location 2

901 Village Blvd Ste 702
West Palm Beach, FL 33409-1947
Phone (561) 882-6214

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
I20050218000170 FL Practitioner - Physician Assistant 0345292264 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SHC Medical Partners of Florida, LLCGroup PAC ID 7618046517, 9 clinicians
Abode Care Partners Al VB LLCGroup PAC ID 1658403704, 48 clinicians

Practice addresses (Care Compare)

4033 Beaver LN
Port Charlotte, FL 33952-9206
Phone 80080765554

4400 Bayou Blvd
Suite 54a
Pensacola, FL 32503-1909
Phone (727) 323-3611

Hospital & facility affiliations

  • Pinnacle Home Care Home health agency, Port Saint Lucie, FL, CCN 109610
  • HCA Florida Healthcare at Home Home health agency, Melbourne, FL, CCN 107612
  • HCA Florida Healthcare at Home Home health agency, Lake Worth Beach, FL, CCN 108119
  • Trilogy Home Healthcare Home health agency, Orlando, FL, CCN 683131

Merit-based Incentive Payment System (MIPS)

Final score
84.5 of 100Reported as group
Quality
69.32
Promoting interoperability
100
Improvement activities
40
Cost
72.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 9103105FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Pierce Family Care, Inc. CurrentSince May 17, 2020 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Sep 23, 2024 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Sep 23, 2024 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Sep 23, 2024 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Sep 23, 2024 Accepting new patients
My Home Doctor, LLC Past Accepting new patients

Locations

3851 Virginia Ave
Fort Pierce, FL 34981
Phone (772) 873-7777

4400 Bayou Blvd
Ste 54A
Pensacola, FL 32503
Phone (727) 323-3611

4033 Beaver Ln
Pt Charlotte, FL 33952
Phone (941) 212-2748

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 4

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1992715072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 VIRGINIA AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349815515",
            "telephone_number": "772-882-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 4TH CT",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329621814",
            "telephone_number": "502-293-5135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3851 Virginia Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349815515",
            "country_code": "US",
            "telephone_number": "772-882-4919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 Village Blvd Ste 702",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334091947",
            "country_code": "US",
            "telephone_number": "561-882-6214",
            "fax_number": "561-882-6216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGADO",
        "first_name": "KELLY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103105",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9103105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.