Kelley Wise
NPI 1023656600ActiveIndividual· Family Medicine· Palm Coast, FL
Family Medicine with Palm Harbor Family Practice and Walk-In Clinic, P.A, practicing in Palm Coast, Florida. Their prescriptions cost Medicare Part D more than their services did: $723,618 for 6,993 claims, against $69,926 paid for services in 2024. Glaxosmithkline, LLC. was the largest of 17 companies reporting payments in 2025, $929.85 in all, mostly food and beverage. Lists Adventhealth Daytona Beach and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1023656600 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Dec 14, 2019 |
| Last updated in NPPES | Feb 7, 2021 |
| Certified by provider | Feb 7, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | APRN11004755 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 303 |
|---|---|
| Services billed | 1,594 across 54 procedure codes |
| Paid by Medicare | $69,926 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,993 · 16,636 30-day fills |
|---|---|
| Patients | 542 |
| Total drug cost | $723,618 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Palm Harbor Family Practice and Walk-In Clinic, P.APalm Coast, FL · 8 clinicians
Hospital affiliations
- Adventhealth Daytona BeachDaytona Beach, FL
- Adventhealth Palm Coast ParkwayPalm Coast, FL
- Adventhealth Palm CoastPalm Coast, FL
Other facilities
- Trilogy Home HealthcareHome health agency · Jacksonville, FL
- Vitas Healthcare Corporation of FloridaHospice · Melbourne, FL
Industry payments (Open Payments)
- 2025$929.85 · 50 payments from 17 companies
- 2024$1,009 · 54 payments from 15 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Glaxosmithkline, LLC. | $214.17 | 15 |
| Abbvie Inc. | $169.72 | 7 |
| Lilly USA, LLC | $84.64 | 4 |
| Novo Nordisk Inc | $75.43 | 4 |
| Pfizer Inc. | $63.18 | 4 |
What the 2025 payments were for
- Food and Beverage$929.85 · 50 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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