Individual provider Active NPI

Collin Kitchell, MD

  • Sports Medicine (Family Medicine) Physician
  • Vero Beach, FL
National Provider Identifier
1275945800
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
ME135616 Issued in FL
Practice address
1285 36TH St Ste 200B
Vero Beach, FL 32960-6588
Phone
(772) 254-9009
Fax
(877) 682-3204
NPI assigned
Jun 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36871 SC
Sports Medicine (Family Medicine) Physician 207QS0010X ME135616 FL Primary

Addresses

Primary practice location

1285 36TH St Ste 200B
Vero Beach, FL 32960-6588

Mailing address

1285 36TH St Ste 200B
Vero Beach, FL 32960-6588
Phone (772) 254-9009

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180820002710 FL Practitioner - Sports MedicinePractitioner - Family Practice 3375856685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

1285 36TH St
Suite 200B
Vero Beach, FL 32960-6588
Phone (772) 299-8591

2100 10TH Ave
Vero Beach, FL 32960-5377
Phone (772) 365-4539

Hospital & facility affiliations

  • NHC Homecare Home health agency, Vero Beach, FL, CCN 107515
  • Health at Home Home health agency, Port Saint Lucie, FL, CCN 109028
  • Activa Home Health Home health agency, Stuart, FL, CCN 108113
  • Pinnacle Home Care Home health agency, Port Saint Lucie, FL, CCN 109610
  • Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Kitchell Clinic LLC Sports Medicine CurrentSince Feb 9, 2026 Accepting new patients

Locations

1285 36th St
Ste 200B
Vero Beach, FL 32960
Phone (772) 254-9009

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIFAED/Endpoint/HIFAED

Organizations & group practices 1

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 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": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1275945800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 36TH ST STE 200B",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606588",
            "telephone_number": "772-254-9009",
            "fax_number": "877-682-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 36TH ST STE 200B",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606588",
            "telephone_number": "772-254-9009",
            "fax_number": "877-682-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHELL",
        "first_name": "COLLIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-02",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "36871",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME135616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.