Individual provider Active NPI

Kymberlee Potter, FNP-BC

  • Family Nurse Practitioner
  • Atlantis, FL
National Provider Identifier
1073057618
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9203644 Issued in FL
Practice address
180 John F Kennedy Dr Ste 250
Atlantis, FL 33462-6642
Phone
(561) 969-1777
Fax
(561) 969-3621
NPI assigned
Dec 16, 2016
Last updated
Nov 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9203644 FL Primary

Addresses

Primary practice location

180 John F Kennedy Dr Ste 250
Atlantis, FL 33462-6642

Mailing address

PO Box 22239
New York, NY 10087-0001
Phone (702) 899-0595

Other names 1

  • Kymberlee Coffindaffer Former name

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
I20180125003089 FL Practitioner - Nurse Practitioner 8224397997 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4620 Pga Blvd
Suite 101
Palm Beach Gardens, FL 33418-3991
Phone (561) 832-1234

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.66 of 100Reported as group
Quality
73.72
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9203644FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Provider Network Inc CurrentSince Feb 1, 2026 Accepting new patients
Tampa General Provider Network Inc CurrentSince Feb 1, 2026 Accepting new patients
National Health Rehabilitation LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

7225 Boca del Mar Dr
Boca Raton, FL 33433
Phone (561) 362-9644

703 S 29th St
Fort Pierce, FL 34947
Phone (201) 654-3130

1615 Miami Rd
Ft Lauderdale, FL 33316
Phone (954) 523-5673

6414 13th Rd S
Greenacres, FL 33415
Phone (561) 478-9900

3893 Military Trl
Ste 1
Jupiter, FL 33458
Phone (561) 559-0955

674 Pioneer Rd
Jupiter, FL 33458
Phone (561) 485-0070

2501 N A St
Lake Worth Beach, FL 33460
Phone (561) 421-4041

11375 Prosperity Farms Rd
Palm Beach Gardens, FL 33410
Phone (561) 571-1075

4620 Pga Blvd
Ste 101
Palm Beach Gardens, FL 33418
Phone (561) 559-0955

1201 N Olive Ave
West Palm Beach, FL 33401
Phone (561) 621-0012

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

2201 45th St
West Palm Beach, FL 33407
Phone (561) 842-6141

2300 Village Blvd
West Palm Beach, FL 33409
Phone (561) 478-1800

750 Bayberry Dr
West Palm Beach, FL 33403
Phone (561) 844-4396

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1073057618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22239",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100870001",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 JOHN F KENNEDY DR STE 250",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626642",
            "telephone_number": "561-969-1777",
            "fax_number": "561-969-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "KYMBERLEE",
        "name_prefix": "Miss",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-16",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9203644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYMBERLEE",
            "last_name": "COFFINDAFFER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.