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

Kelly M Elleson, MD

Individual provider Surgery Physician · NPI 1487048930

Kelly M Elleson, MD is a General Surgery in Fort Myers, Florida. Qualified in 2015, 11 years ago. Practices with Genesiscare USA of Florida LLC, a 171-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8931 Colonial Center Dr Ste 301
Fort Myers, FL 33905-7809
Phone: (239) 539-8815
Fax: (239) 277-0729
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence ME146912 (FL)

Record details

NPI number1487048930
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2015
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Genesiscare Usa Of Florida Llc — 171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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