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

Kelly Marie Wong, NP

Individual provider Nurse Practitioner · NPI 1174803605

Kelly Marie Wong, NP is a Nurse Practitioner in Plantation, Florida. Qualified in 2010, 16 years ago. Practices with Advanced Spine and Pain LLC, a 31-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
16
Licensed in
AZ
In the registry since
2011
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

861 SW 78th Ave Ste 200B
Plantation, FL 33324-3273
Phone: (877) 693-5700
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP4100 (AZ)

Record details

NPI number1174803605
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedAugust 29, 2011
Last updated in NPPESJune 20, 2023
Certification dateJanuary 3, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Advanced Spine And Pain Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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