Individual provider Active NPI

Kimberly Nicole Kiernan, APRN

  • Family Nurse Practitioner
  • Palm Bay, FL
National Provider Identifier
1043165939
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11045768 Issued in FL
Practice address
200 Malabar Rd SE
Palm Bay, FL 32907-3040
Phone
(321) 633-3278
NPI assigned
Mar 4, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X APRN11045768 FL
Family Nurse Practitioner 363LF0000X APRN11045768 FL Primary

Addresses

Primary practice location

200 Malabar Rd SE
Palm Bay, FL 32907-3040

Mailing address

200 Malabar Rd SE
Palm Bay, FL 32907-3040
Phone (321) 633-3278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260313004002 FL Practitioner - Nurse Practitioner 5395228654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medfast Urgent Care Centers LLCGroup PAC ID 1052418837, 73 clinicians

Practice addresses (Care Compare)

2500 Minton Rd
West Melbourne, FL 32904-6602
Phone (321) 633-3278

390 N Courtenay Pkwy
Merritt Island, FL 32953-3456
Phone (321) 633-3162

490 Ctr Lake Dr NE
Suite 200
Palm Bay, FL 32907-1113
Phone (321) 751-7222

5005 Port St John Pkwy
Port St John, FL 32927-4305
Phone (321) 757-7222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11045768FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medfast Urgent Care Centers, LLC Urgent Care CurrentSince Mar 3, 2026 Accepting new patients
Medfast Urgent Care Centers, LLC Urgent Care CurrentSince Mar 3, 2026 Accepting new patients

Locations

7970 N Wickham Rd
Melbourne, FL 32940
Phone (321) 255-7711

200 Malabar Rd SE
Palm Bay, FL 32907

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1043165939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MALABAR RD SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073040",
            "telephone_number": "321-633-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MALABAR RD SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073040",
            "telephone_number": "321-633-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIERNAN",
        "first_name": "KIMBERLY",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-03-04",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "APRN11045768",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11045768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

Verify at the official NPI Registry.