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

Nicholas Joseph Kelly, MD

Individual provider Emergency Medicine Physician · NPI 1164955183

Nicholas Joseph Kelly, MD is an Emergency Medicine in Jacksonville, Florida. Graduated from Ohio State University College of Medicine in 2017, 9 years ago. Practices with Mayo Clinic Jacksonville, a 1,581-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and Florida.

Years since qualifying
9
Trained at
Ohio State University College of Medicine
Licensed in
CO, FL
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 777 Bannock St, Denver, CO 80204-4597 — (303) 602-5183

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence ME167209 (FL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence DR.0066498 (CO)

Record details

NPI number1164955183
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2017
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Mayo Clinic Jacksonville — 1581 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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