Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790319994 Individual Practitioner Female Practitioner

Coreen Kelly

Nurse Practitioner • Daytona Beach, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Coreen Kelly is a certified Nurse Practitioner practicing in Daytona Beach, FL. With approximately 7 years of clinical experience since completing medical education in 2019, Coreen Kelly delivers high-quality medical care to the local community at 1430 MASON AVE.

Coreen Kelly is affiliated with Dna Center Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1430 Mason Ave

Daytona Beach, FL 321174551

Telephone 3862742000
Fax 3862742009
Associated Practice Facility / Clinic
🏢 Dna Center Llc Facility NPI 1609117647

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Daytona Beach, FL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -1.1 yrs vs City Avg
City Avg: 8.1 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
73 Specialists

Practicing in Daytona Beach, FL (8990 Statewide)

Telehealth Adoption Rate
6.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kelly (7 Years) 7 Yrs
Daytona Beach Specialty Average (8.1 Years) 8.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
477 123 $322.19 $105.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
12 12 $340.00 $139.28

Medical Specialties & State Licenses

CMS Verified: 2024-11-19
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL APRN11006345

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Dna Center Llc

1430 Mason Ave, Daytona Beach, FL 321174551

Phone: 3862742000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Elizabeth Smith , ARNP

Nurse Practitioner - Family

NPI 1437408812

Advanced Registered Nurse Practitioner

Dr. John Ortolani , MD

Psychiatry & Neurology - Neurology

NPI 1487613642

Doctor of Medicine (M.D.)

Dr. Christy Davis , MD

Family Medicine - Adult Medicine

NPI 1518925973

Doctor of Medicine (M.D.)

Leslie Milos , ARNP-C

Nurse Practitioner - Adult Health

NPI 1932370491

ARNPC

Dr. Jeffrey Ahmed , MD

Psychiatry & Neurology - Neurology

NPI 1962461137

Doctor of Medicine (M.D.)

Loren Gomes , APRN

Nurse Practitioner - Primary Care

NPI 1972277622

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location November 19, 2024

Registered at 1430 MASON AVE, DAYTONA BEACH, FL 321174551 (Tel: 3862742000)

NPI Profile Active February 26, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location February 26, 2020

Registered at 701 W PLYMOUTH AVE, DELAND, FL 327203236 (Tel: 5184093502)

📍
Updated Business Mailing Address February 26, 2020

Registered at 1862 SILVER FERN RD, PORT ORANGE, FL 321286741 (Tel: 5184093502)

👤
Provider Name / Credentials Updated February 26, 2020

Recorded as COREEN KELLY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2020

Nurse Practitioner (License #APRN11006345 in FL)

🟢
Initial NPI Registration & Enumeration February 26, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790319994
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 26, 2020
Last Update: November 19, 2024
Sole Proprietor: No

Mailing Address

1862 Silver Fern Rd

Port Orange, FL 321286741

Phone: 5184093502

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.