NPIMap

Individual provider Active NPI

Kimberly Joy Ertel, APRN

  • Family Nurse Practitioner
  • Apopka, FL
National Provider Identifier
1205489457
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11003213 Issued in FL
Practice address
2024 Majestic Woods Blvd
Apopka, FL 32712-3237
Phone
(904) 509-9300
NPI assigned
Jul 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 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 APRN11003213 FL Primary

Addresses

Primary practice location

2024 Majestic Woods Blvd
Apopka, FL 32712-3237

Mailing address

770 W Granada Blvd Ste 101
Ormond Beach, FL 32174-5179
Phone (386) 231-4746

Other practice location 1

3 Adventhealth Way Ste 120
Palm Coast, FL 32137-4702
Phone (386) 586-1995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191017001008 FL Practitioner - Nurse Practitioner 0446581797 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians
Mediquick Urgent Care Centers IncGroup PAC ID 3577542000, 6 clinicians

Practice addresses (Care Compare)

1 Adventhealth Way
Palm Coast, FL 32137-4702
Phone (386) 302-1800

1245 W Granada Blvd
Adventhealth Centra Care Ormond Beach
Ormond Beach, FL 32174-5914
Phone (386) 317-9055

1270 Palm Coast Pkwy NW
Adventhealth Centra Care Palm Coast
Palm Coast, FL 32137-4738
Phone (407) 200-2300

440 W Hwy 436
Adventhealth Centra Care Altamonte
Altamonte Springs, FL 32714-4136
Phone (407) 788-2000

5851 State Hwy 100 E a
Adventist Health Centra Care Palm Coast Sem
Palm Coast, FL 32164-2448
Phone (386) 246-8130

6 Office Park Dr
Palm Coast, FL 32137-3808
Phone (386) 447-6615

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Healthcare Partners, Inc CurrentSince Aug 8, 2025 Accepting new patients
Mediquick Urgent Care Centers Inc CurrentSince Sep 1, 2019 Accepting new patients
Memorial Hospital Flagler Inc Past Accepting new patients

Locations

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

770 W Granada Blvd
Ste 101
Ormond Beach, FL 32174
Phone (386) 231-4519

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

3 Adventhealth Way
Ste 120
Palm Coast, FL 32137
Phone (386) 586-1995

1 Adventhealth Way
Palm Coast, FL 32137
Phone (330) 414-9233

6 Office Park Dr
Palm Coast, FL 32137
Phone (386) 445-7238

Interoperability endpoints

  • Direct secure messaging: kertel5565760@adventhealth.direct-ci.com

Organizations & group practices 4

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 6

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": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1205489457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 W GRANADA BLVD STE 101",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745179",
            "telephone_number": "386-231-4746",
            "fax_number": "386-368-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 MAJESTIC WOODS BLVD",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327123237",
            "telephone_number": "904-509-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Adventhealth Way Ste 120",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321374702",
            "country_code": "US",
            "telephone_number": "386-586-1995",
            "fax_number": "386-586-1772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERTEL",
        "first_name": "KIMBERLY",
        "middle_name": "JOY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11003213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

Verify at the official NPI Registry.