Individual provider Active NPI

Kellie Ann Regan, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1265263057
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11034618 Issued in FL
Practice address
1131 NW 64TH Ter Ste a
Gainesville, FL 32605-4261
Phone
(352) 363-2025
Fax
(352) 363-2026
NPI assigned
Aug 12, 2024
Last updated
May 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11034618 FL Primary

Addresses

Primary practice location

1131 NW 64TH Ter Ste a
Gainesville, FL 32605-4261

Mailing address

1131 NW 64TH Ter Ste a
Gainesville, FL 32605-4261
Phone (352) 363-2025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250328001526 FL Practitioner - Nurse Practitioner 5890218010 Reassigns benefits to 3 organizations
I20251212003071 PA Practitioner - Nurse Practitioner 5890218010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Balanced Wellbeing LLCGroup PAC ID 5193021848, 228 clinicians

Practice addresses (Care Compare)

3200 SW 34TH Ave
Suite 701
Ocala, FL 34474-8443
Phone (877) 779-2429

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. CurrentSince Apr 3, 2025 Accepting new patients
Balanced Wellbeing LLC CurrentSince Mar 24, 2025 Accepting new patients
Balanced Wellbeing Nationwide PA CurrentSince Nov 1, 2025 Accepting new patients
Balanced Wellbeing Nationwide PA CurrentSince Nov 1, 2025 Accepting new patients
MCR Health, Inc. CurrentSince Apr 3, 2025 Accepting new patients

Locations

3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

330 Innovation Blvd
Fl 2
State College, PA 16803
Phone (814) 880-1958

Organizations & group practices 6

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": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1265263057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 NW 64TH TER STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054261",
            "telephone_number": "352-363-2025",
            "fax_number": "352-363-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 NW 64TH TER STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054261",
            "telephone_number": "352-363-2025",
            "fax_number": "352-363-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGAN",
        "first_name": "KELLIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APRN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11034618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.