Elizabeth Kelly, PA STUDENT

ActiveIndividual ProviderSpecialty not listed
NPI issued: May 11, 2026

Quick Facts

NPI Number
1205764172
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy390200000X — Specialty not listed
Phone
(386) 310-3529
StateFL

NPI Validation Status: Verified

Valid 10-digit NPI number (1205764172)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (May 11, 2026)
Data source: CMS NPPES

Provider Overview

ELIZABETH KELLY, PA STUDENT is a Healthcare provider based in Daytona Beach, FL who has been registered with CMS since 2026. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1205764172
Provider TypeIndividual Provider
GenderFemale
CredentialPA STUDENT
StatusActive
Enumeration DateMay 11, 2026

Practice Location

CityDaytona Beach
StateFL
ZIP Code32118-4422
Phone(386) 310-3529

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code390200000X
License StateFL

Mailing Address

CityDaytona Beach
StateFL
ZIP Code32118-4422
Phone(386) 310-3529
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1205764172 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1205764172for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1205764172 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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361,604
Specialty not listed Providers in the US

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People Also Ask

What is Elizabeth Kelly's NPI number?
Elizabeth Kelly's NPI number is 1205764172, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Elizabeth Kelly's NPI currently active?
Yes, Elizabeth Kelly's NPI status is Active as of the latest CMS NPPES database updates.
What does Elizabeth Kelly specialize in?
Elizabeth Kelly specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 390200000X.
Where does Elizabeth Kelly practice?
Elizabeth Kelly practices in Daytona Beach, FL 32118-4422.
When was Elizabeth Kelly's NPI issued?
Elizabeth Kelly's NPI was issued on May 11, 2026.
What is Elizabeth Kelly's provider type?
Elizabeth Kelly is registered as an Individual Provider under CMS NPI Type 1.