Kelly McCullough, ARNP
Nurse Practitioner in Port Richey, FL. Individual provider (NPI-1).
NPI number1285627273
StatusActive
Last updated in NPPESSep 8, 2026
Details
- NPI
- 1285627273
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kelly McCullough
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 25, 2005
- Certification date
- Sep 8, 2026
- Last updated
- Sep 8, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | ARNP2752232 | FL | Yes |
Practice location
6709 Ridge Rd Ste 302Port Richey, FL 34668-6867
Phone 727-478-8876 · Fax 877-487-5705
Mailing address
6709 Ridge RdPort Richey, FL 34668-6834
Phone 727-478-8876 · Fax 877-487-5705
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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