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

Mrs. Kelli K Thomazin, PA-C

Individual provider Physician Assistant · NPI 1780637504

Mrs. Kelli K Thomazin, PA-C is a Physician Assistant in Lake Mary, Florida. Graduated from University of Nebraska College of Medicine in 1993, 33 years ago. Practices with Ability Health Services, Inc, a 1,232-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and Nebraska.

Years since qualifying
33
Trained at
University of Nebraska College of Medicine
Licensed in
FL, NE
In the registry since
2006
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

773 Stirling Center Pl
Lake Mary, FL 32746-4856
Phone: (407) 977-4130
Fax: (407) 977-4139
Show map & directions

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

Additional practice locations (2)

  • 7974 Lake Underhill Rd Ste A, Orlando, FL 32822-8229 — (407) 977-4130
  • 7404 Red Bug Lake Rd, Oviedo, FL 32765-7154 — (407) 977-4130

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9113657 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 1029 (NE)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 1029 (NE)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 1029 (NE)

Record details

NPI number1780637504
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 19, 2006
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Ability Health Services, Inc — 1232 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lake Mary