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

Kelsey Leonard

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780262782

Kelsey Leonard is an Emergency Medicine in Jacksonville, Florida. Graduated from Oakland Univ, William Beaumont School of Medicine in 2021, 5 years ago. Practices with Wake Emergency Physicians PA, a 273-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Trained at
Oakland Univ, William Beaumont School of Medicine
Licensed in
FL
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

3625 University Blvd S
Jacksonville, FL 32216-4207
Phone: (904) 702-6088
Fax: (904) 639-2015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2001 Kingsley Ave, Orange Park, FL 32073-5148 — (904) 639-2000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence ME169000 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1780262782
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 31, 2021
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024
Mailing address3625 University Blvd S, Jacksonville, FL 32216-4207

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOAKLAND UNIV, WILLIAM BEAUMONT SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Wake Emergency Physicians Pa — 273 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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