Active NPI 1801304357 Individual Practitioner Female Practitioner

Kelli M. Tyson , ARNP

Nurse Practitioner • St Augustine, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kelli Tyson, ARNP is a certified Nurse Practitioner practicing in St Augustine, FL. With approximately 9 years of clinical experience since completing medical education in 2017, Kelli Tyson delivers high-quality medical care to the local community at 1100 PLANTATION ISLAND DR S STE 220.

Kelli Tyson accepts Medicare assignment.

Frequently performed procedures and clinical services include residence visit for established patient with moderate level of medical decision making, per day, if using time, at least, residence visit for established patient with high level of medical decision making, per day, if using time, at least, hospital discharge day management, more than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1100 Plantation Island Dr S Ste 220

St Augustine, FL 320805174

Telephone 9042233321

Fax 9042232169

Associated Practice Facility / Clinic

🏢 Jacksonville Spine Center Pa Facility NPI 1194248229

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in St Augustine, FL

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs +0.3 yrs vs City Avg

City Avg: 8.7 Yrs

State Avg: 10.0 Yrs

Regional Practice Density

27 Specialists

Practicing in St Augustine, FL (8990 Statewide)

Telehealth Adoption Rate

18.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tyson (9 Years) 9 Yrs

St Augustine Specialty Average (8.7 Years) 8.7 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
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	725	176	$253.42	$104.99
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	224	124	$355.14	$153.99
99239 Hospital discharge day management, more than 30 minutes	133	130	$737.00	$94.22
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	113	85	$718.00	$98.13
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	72	49	$84.00	$43.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	56	54	$1389.00	$143.04
99344 New patient home visit, typically 1 hour	36	36	$357.76	$117.22
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	34	20	$65.00	$33.98
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	26	25	$140.54	$63.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	19	$500.00	$65.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	898	168	$187.50	$63.71
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	858	188	$255.10	$107.10
99344 New patient home visit, typically 1 hour	115	115	$359.78	$120.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	75	53	$718.00	$100.50
99239 Hospital discharge day management, more than 30 minutes	66	65	$737.00	$96.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	53	42	$500.00	$66.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$1389.00	$146.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99336 Established patient assisted living visit, typically 40 minutes	496	90	$242.44	$112.79
99335 Established patient assisted living visit, typically 25 minutes	441	90	$200.12	$79.84
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	38	31	$718.00	$87.45
99217 Hospital observation care on day of discharge	33	32	$503.88	$61.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	19	$500.46	$61.21
99337 Established patient assisted living visit, typically 60 minutes	27	24	$377.62	$161.15
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	26	26	$297.98	$154.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	23	23	$260.80	$110.84
99239 Hospital discharge day management, more than 30 minutes	20	20	$738.34	$89.52
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	13	$78.63	$44.27
99326 New patient assisted living visit, typically 45 minutes	13	13	$272.88	$115.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99335 Established patient assisted living visit, typically 25 minutes	308	50	$193.30	$80.89
99336 Established patient assisted living visit, typically 40 minutes	212	52	$276.28	$114.72
99217 Hospital observation care on day of discharge	167	165	$411.80	$61.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	97	51	$375.99	$61.35
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	75	50	$503.45	$88.11
99225 Subsequent observation care, typically 25 minutes per day	53	43	$446.29	$61.35
99239 Hospital discharge day management, more than 30 minutes	52	52	$487.64	$90.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	25	$1329.56	$170.96
99326 New patient assisted living visit, typically 45 minutes	18	18	$284.12	$117.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$897.86	$116.42
99226 Subsequent observation care, typically 35 minutes per day	17	17	$681.76	$88.11
99358 Prolonged patient service without direct patient contact first hour	13	13	$793.86	$95.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99336 Established patient assisted living visit, typically 40 minutes	242	50	$255.26	$115.99
99335 Established patient assisted living visit, typically 25 minutes	223	73	$161.09	$81.68
99217 Hospital observation care on day of discharge	129	128	$178.00	$62.52
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	90	62	$246.00	$90.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	73	40	$173.00	$62.56
99231 Follow-up hospital inpatient care per day, typically 15 minutes	49	19	$112.00	$34.30
99239 Hospital discharge day management, more than 30 minutes	49	46	$251.00	$92.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$450.00	$175.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	16	$303.00	$119.98
99225 Subsequent observation care, typically 25 minutes per day	18	18	$140.00	$62.82
99226 Subsequent observation care, typically 35 minutes per day	15	15	$199.00	$90.13
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	11	11	$302.06	$159.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99335 Established patient assisted living visit, typically 25 minutes	36	19	$144.80	$80.74

Medical Specialties & State Licenses

CMS Verified: 2024-12-19

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL ARNP9229212

(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.

Practice Associates & Co-Workers

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

40 Associated Practitioners

Thomas Mattox , PA-C

Physician Assistant

NPI 1003249004

Physician Assistant (Certified)

Kassia Silva

Pain Medicine - Interventional Pain Medicine

NPI 1003279316

Glynnis Winfree , APRN

Nurse Practitioner

NPI 1003483850

Advanced Practice Registered Nurse

Shannon Groleau , ARNP

Nurse Practitioner - Adult Health

NPI 1023254299

Advanced Registered Nurse Practitioner

Robert Weber , PA-C

Physician Assistant

NPI 1033131461

Physician Assistant (Certified)

Dr. Nicholas Bremer , MD

Pain Medicine - Pain Medicine

NPI 1083778468

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location December 19, 2024

Registered at 1100 PLANTATION ISLAND DR S STE 220, ST AUGUSTINE, FL 320805174 (Tel: 9042233321)

📍

Updated Business Mailing Address December 19, 2024

Registered at 5191 FIRST COAST TECH PKWY FL 3, JACKSONVILLE, FL 322240609 (Tel: 9042233321)

✅

NPI Profile Active January 18, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 18, 2018

Registered at 3550 UNIVERSITY BLVD. S., STE 302, JACKSONVILLE, FL 32216 (Tel: 9047334444)

📍

Updated Business Mailing Address January 18, 2018

Registered at 3550 UNIVERSITY BLVD. S., STE 302, JACKSONVILLE, FL 32216 (Tel: 9047334444)

👤

Provider Name / Credentials Updated January 18, 2018

Recorded as KELLI TYSON, ARNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2018

Nurse Practitioner (License #ARNP9229212 in FL)

🟢

Initial NPI Registration & Enumeration January 18, 2018

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: 1801304357

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 18, 2018

Last Update: December 19, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5191 First Coast Tech Pkwy Fl 3

Jacksonville, FL 322240609

Phone: 9042233321

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

⚠️ Medical Disclaimer

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