Kelly Meyer, PA-C
Physician Assistant in Kissimmee, FL. Individual provider (NPI-1).
NPI number1760944151
StatusActive
Last updated in NPPESJan 11, 2023
Details
- NPI
- 1760944151
- Entity type
- Individual (NPI-1)
- Name
- Kelly Meyer
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2019
- Certification date
- Jan 11, 2023
- Last updated
- Jan 11, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- 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 |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA9111909 | FL | Yes |
| 363AS0400X | Physician Assistant, Surgical | PA9111909 | FL |
Practice location
720 W Oak St Ste 303Kissimmee, FL 34741-4992
Phone 407-846-2266
Mailing address
720 W Oak St Ste 303Kissimmee, FL 34741-4992
Phone 407-846-2266
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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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All 86 Physician Assistant providers in Kissimmee · All 7,630 providers in Kissimmee
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