Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Bahnam, ARNP

Individual provider Nurse Practitioner · NPI 1275067043

Kelly Bahnam, ARNP is a Nurse Practitioner in Fort Myers, Florida. Graduated from University of South Alabama College of Medicine in 2016, 10 years ago. Practices with Millennium Physician Group LLC, a 970-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
10
Trained at
University of South Alabama College of Medicine
Licensed in
FL
In the registry since
2017
Specialties on file
2
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

13440 Parker Commons Blvd Ste 101
Fort Myers, FL 33912-1816
Phone: (239) 432-9383
Fax: (239) 432-9392
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN9376085 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence ARNP9376085 (FL)

Record details

NPI number1275067043
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedApril 18, 2017
Last updated in NPPESJanuary 20, 2023
Certification dateJanuary 20, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Millennium Physician Group Llc — 970 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fort Myers