Individual provider Active NPI

Kimberly Kay Buff, ARNP, FNP-C

  • Family Nurse Practitioner
  • Winter Haven, FL
National Provider Identifier
1063950723
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9307765 Issued in FL
Practice address
200 Avenue F NE
Winter Haven, FL 33881-4131
Phone
(863) 293-1121
Fax
(863) 291-6028
NPI assigned
Feb 2, 2017
Last updated
Jul 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024177664 VA
Family Nurse Practitioner 363LF0000X APRN9307765 FL Primary

Addresses

Primary practice location

200 Avenue F NE
Winter Haven, FL 33881-4131

Mailing address

4830 Rucker Rd
Moneta, VA 24121-5281
Phone (540) 297-7181

Other practice location 1

1900 Electric Rd
Salem, VA 24153-7494
Phone (540) 776-4000

Other practice location 2

4830 Rucker Rd
Moneta, VA 24121-5281
Phone (540) 297-7181

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
I20170404000735 FL Practitioner - Nurse Practitioner 6406132521 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayside Emergency Physicians PAGroup PAC ID 6103988332, 19 clinicians

Practice addresses (Care Compare)

1200 7TH Ave N
St Petersburg, FL 33705-1300
Phone (727) 825-1100

14027 5TH St
Dade City, FL 33525-4302
Phone (352) 518-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Wales Emergency Physicians, LLC Nurse Practitioner CurrentSince Jan 22, 2024 Accepting new patients
Emergency Medicine Services of FL, LLC CurrentSince Dec 22, 2023 Accepting new patients
Inphynet Contracting Services LLC Nurse Practitioner CurrentSince Oct 1, 2024 Accepting new patients
Premier Community Healthcare Group, Inc. CurrentSince Mar 23, 2025 Accepting new patients
Ridgewood Emergency Group, LLC Nurse Practitioner CurrentSince Jan 22, 2024 Accepting new patients
Ridgewood Emergency Group, LLC Nurse Practitioner CurrentSince Jan 22, 2024 Accepting new patients
Florida Emergency Physicians Kang and Associates MD LLC CurrentSince Oct 1, 2022 Accepting new patients
Premier Community Healthcare Group Inc CurrentSince Mar 23, 2025 Accepting new patients
Paragon Emergency Services LLC Nurse Practitioner CurrentSince Jul 26, 2023 Accepting new patients
Premier Community Healthcare Group Inc Past Accepting new patients

Locations

300 S Main St
Brooksville, FL 34601
Phone (352) 540-6800

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

1909 E Highway 50
Clermont, FL 34711
Phone (352) 717-3800

14027 5th St
Dade City, FL 33525
Phone (813) 782-6064

40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

5957 Rowan Rd
New Port Richey, FL 34653
Phone (727) 645-4185

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

7551 Forest Oaks Blvd
Spring Hill, FL 34606
Phone (352) 540-6800

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

17430 Bali Blvd
Winter Garden, FL 34787
Phone (863) 419-2496

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

37920 Medical Arts Ct
Zephyrhills, FL 33541

Interoperability endpoints

  • FHIR API: https://epicproxy.et1256.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1063950723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 RUCKER RD",
            "city": "MONETA",
            "state": "VA",
            "postal_code": "241215281",
            "telephone_number": "540-297-7181",
            "fax_number": "434-200-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AVENUE F NE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814131",
            "telephone_number": "863-293-1121",
            "fax_number": "863-291-6028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Electric Rd",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241537494",
            "country_code": "US",
            "telephone_number": "540-776-4000",
            "fax_number": "540-776-4196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4830 Rucker Rd",
            "address_purpose": "LOCATION",
            "city": "Moneta",
            "state": "VA",
            "postal_code": "241215281",
            "country_code": "US",
            "telephone_number": "540-297-7181",
            "fax_number": "434-200-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUFF",
        "first_name": "KIMBERLY",
        "middle_name": "KAY",
        "credential": "ARNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-02",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024177664",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9307765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.