Individual provider Active NPI

Kelly Marie Cabana, ARNP

  • Family Nurse Practitioner
  • Panama City, FL
National Provider Identifier
1235404641
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9165075 Issued in FL
Practice address
107 W 19TH St
Panama City, FL 32405-4647
Phone
(850) 785-3040
Fax
(850) 785-2552
NPI assigned
Mar 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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 ARNP9165075 FL Primary

Addresses

Primary practice location

107 W 19TH St
Panama City, FL 32405-4647

Mailing address

5041 N 12TH Ave
Pensacola, FL 32504-8916
Phone (850) 433-2155

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
I20160912001697 FL Practitioner - Nurse Practitioner 2769624600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Vitas Solutions IncGroup PAC ID 7012087166, 55 clinicians

Practice addresses (Care Compare)

638 Harrison Ave
Suite 102
Panama City, FL 32401-2662
Phone (850) 895-0224

Hospital & facility affiliations

  • Vitas Healthcare Corporation of Florida Hospice, Tallahassee, FL, CCN 101513

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vitas Solutions Inc CurrentSince Feb 24, 2025 Accepting new patients
Covenant Hospice Inc Past Accepting new patients

Locations

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

638 Harrison Ave
Ste 102
Panama City, FL 32401
Phone (850) 558-4400

255 E 5th St
Ste 1050
Cincinnati, OH 45202

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1235404641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5041 N 12TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048916",
            "telephone_number": "850-433-2155",
            "fax_number": "850-202-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W 19TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054647",
            "telephone_number": "850-785-3040",
            "fax_number": "850-785-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABANA",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9165075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.