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

Kelly Richards, PA-C

Individual provider Physician Assistant · NPI 1861825127

Kelly Richards, PA-C is a Physician Assistant in Orange City, Florida. Qualified in 2012, 14 years ago. Practices with Pinnacle ENT Alliance LLC, a 70-clinician group and accepts Medicare assignment.

Years since qualifying
14
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

963 Town Center Dr Ste 100
Orange City, FL 32763-8254
Phone: (386) 774-9880
Fax: (386) 774-2898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1861825127
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 9, 2013
Last updated in NPPESMay 12, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Pinnacle Ent Alliance Llc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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