Kellie Brock, NURSE PRACTITIONER
NPI 1104693761 · Family Nurse Practitioner · Niceville, FL
Kellie Brock, NURSE PRACTITIONER is a Family Nurse Practitioner provider in Niceville, FL (NPI 1104693761).
Provider details
- NPI number
- 1104693761
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Female
- Sole proprietor
- Yes
- License
- 11029005 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-12-05
- Last updated
- 2023-12-05
- Certified
- 2023-12-05
Frequently asked questions
- What is Kellie Brock's NPI number?
- Kellie Brock's National Provider Identifier (NPI) is 1104693761, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kellie Brock's specialty?
- Kellie Brock is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kellie Brock located?
- Kellie Brock's practice location on file with NPPES is 1571 Lakeside Dr, Niceville, FL 32578-4161.
- What is Kellie Brock's phone number?
- The practice phone number listed in the NPPES registry for Kellie Brock is (713) 582-0937.
- Is Kellie Brock's NPI active?
- Yes — Kellie Brock's NPI (1104693761) is active in the NPPES registry as of the last update on 2023-12-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.