Kelli M Tyson, ARNP - Medicare Nurse Practitioner in St Augustine, FL

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Kelli M Tyson, ARNP is a medicare enrolled "Nurse Practitioner" in St Augustine, Florida. She graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Karefirst Florida Pa and her current practice location is 1100 Plantation Island Dr S Ste 220, St Augustine, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 223-3321.

Kelli M Tyson is licensed to practice in Florida (license number ARNP9229212) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1801304357.

Contact Information

Kelli M Tyson, ARNP
1100 Plantation Island Dr S Ste 220,
St Augustine, FL 32080-5174
(904) 223-3321
(904) 223-2169

Map and Direction




Provider's Profile

Full NameKelli M Tyson
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location1100 Plantation Island Dr S Ste 220, St Augustine, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelli M Tyson graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1801304357
  • Provider Enumeration Date: 01/18/2018
  • Last Update Date: 12/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2860722451
  • Enrollment ID: I20190925000073

Medical Identifiers

Medical identifiers for Kelli M Tyson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801304357NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner ARNP9229212 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Community Hospice Of Northeast Florida IncJacksonville, FLHospice
Vitas Healthcare Corporation Of FloridaMelbourne, FLHospice

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Karefirst Florida Pa28608539913

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelli M Tyson allows following entities to bill medicare on her behalf.
Entity NameJacksonville Spine Center Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881643757
PECOS PAC ID: 6901890300
Enrollment ID: O20040408001580
Entity NameCogent Healthcare Of Jacksonville, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124252333
PECOS PAC ID: 1759435944
Enrollment ID: O20090824000043
Entity NameSound Physicians Of Florida Iv, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740633635
PECOS PAC ID: 6002198082
Enrollment ID: O20170127000352
Entity NameMobile Visiting Practitioners, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265915359
PECOS PAC ID: 7810239100
Enrollment ID: O20190507002879
Entity NameKarefirst Florida Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346925864
PECOS PAC ID: 2860853991
Enrollment ID: O20231027001333

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelli M Tyson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelli M Tyson, ARNP
5191 First Coast Tech Pkwy Fl 3,
Jacksonville, FL 32224-0609

Ph: (904) 223-3321		Kelli M Tyson, ARNP
1100 Plantation Island Dr S Ste 220,
St Augustine, FL 32080-5174

Ph: (904) 223-3321

Reviews and Comments


Nurse Practitioner Nurses in St Augustine, FL

Dr. Lilia Diaz Pino, PH.D., ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2703 N Ponce De Leon Blvd, St Augustine, FL 32084
Phone: 866-389-2727    
Mrs. Yvonne Payne, ARNP, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 206 Ashourian Ave Ste 209, St Augustine, FL 32092
Phone: 904-800-7246    Fax: 904-299-4116
Mrs. Kelly Auclair, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 316 Paseo Reyes Dr, St Augustine, FL 32095
Phone: 903-544-5800    Fax: 903-544-5800
Kay Lewis Hood, AGACNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 105 Whitehall Dr, St Augustine, FL 32086
Phone: 904-800-7246    
Joann Fritsch,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 130 Health Park Blvd, St Augustine, FL 32086
Phone: 904-826-3469    Fax: 904-808-4608
Rachel Long,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2703 N Ponce De Leon Blvd, St Augustine, FL 32084
Phone: 352-373-2507    
Melissa Spies, AGNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2867 N 9th St, St Augustine, FL 32084
Phone: 904-999-7631    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.