Individual ProviderAdrienne KeelyNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1900 Harrison Ave, Panama City, FL 32405-4542(850) 769-7546PECOS EnrollmentBased on the most recent information from CMS, provider Adrienne Keely is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1912454828Provider TypeIndividualFull NameKeely, AdrienneTitleMrs.CredentialNP-CGenderFemaleSole ProprietorNoEnumeration Date9/8/2016Last Updated6/9/2025Contact InformationPractice LocationPractice Address1900 Harrison Ave, Panama City, FL 32405-4542Phone(850) 769-7546FaxUnlisted FaxMailing LocationMailing Address1900 Harrison Ave, Panama City, FL 32405-4542Phone(850) 769-7546Fax(850) 785-2123Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN11012628FloridaCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense1-143648Alabama