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

Kelly Tyrrell Range, NP

Individual provider Acute Care Nurse Practitioner · NPI 1063045821

Kelly Tyrrell Range, NP is a Nurse Practitioner in St Petersburg, Florida. Qualified in 2019, 7 years ago. Practices with Tampa Bay Surgical Group LLP, a 17-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2020
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

2191 9th Ave N
St Petersburg, FL 33713-7146
Phone: (727) 821-8101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 11006219 (FL)

Record details

NPI number1063045821
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 19, 2020
Last updated in NPPESApril 29, 2020
Certification dateApril 29, 2020
Mailing address10516 Silhavy Dr, Largo, FL 33774-5223

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Tampa Bay Surgical Group Llp — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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