MEDICARE: KELSEY STONE APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	AP61431999	WA
2	363LF0000X	Family Nurse Practitioner	36386	TN
3	363LF0000X	Family Nurse Practitioner	AP146015	TX
4	363LF0000X	Family Nurse Practitioner	10023004	OR
5	363LF0000X	Family Nurse Practitioner	GAA-NP002284	GA
6	363LF0000X	Family Nurse Practitioner	13334859-4405	UT
7	363LF0000X	Family Nurse Practitioner	903929	MS
8	363LF0000X	Family Nurse Practitioner	225013	AR
9	363LF0000X	Family Nurse Practitioner	0036511	OH
10	363LF0000X	Family Nurse Practitioner	C-APN.0102343-C-NP	CO
11	363LF0000X	Family Nurse Practitioner	11003439	FL
12	363LF0000X	Family Nurse Practitioner	211914	LA
13	363LF0000X	Family Nurse Practitioner	3-001180	AL
14	363LF0000X	Family Nurse Practitioner	4005977	KY
15	363LF0000X	Family Nurse Practitioner	213779	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366095085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELSEY STONE APRN

Provider Business Mailing Address
First Line	:	19387 US HIGHWAY 19 N
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33764-3102
Country	:	US
Telephone Number	:	888-222-0755
Fax Number	:

Provider Business Practice Location Address
First Line	:	19387 US HIGHWAY 19 N
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33764-3102
Country	:	US
Telephone Number	:	800-284-2006
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2019
Last Update Date	:	01/14/2026

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Directions to “ KELSEY STONE APRN” Practice Location

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