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

Mrs. Kelly Parker, PA-C

Individual provider Adult Medicine Physician · NPI 1811459399

Mrs. Kelly Parker, PA-C is a Physician Assistant in Land O Lakes, Florida. Qualified in 2020, 6 years ago. Practices with Ohi West Medical Group II LLC, a 409-clinician group and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
6
Licensed in
FL, NY
In the registry since
2019
Specialties on file
3
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

2100 Via Bella Blvd Ste 102
Land O Lakes, FL 34639-5429
Phone: (813) 712-5718
Fax: (813) 355-5029
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9117316 (FL)
Adult Medicine Physician Taxonomy 207QA0505X · Licence 025795 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 025795 (NY)

Record details

NPI number1811459399
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 3, 2019
Last updated in NPPESJanuary 17, 2024
Certification dateJanuary 17, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ohi West Medical Group Ii Llc — 409 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Land O Lakes