Individual provider Active NPI

Kortney Winkleman, ARNP

  • Nurse Practitioner
  • Palatka, FL
National Provider Identifier
1295408482
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11014487 Issued in FL
Practice address
205 Zeagler Dr Ste 101
Palatka, FL 32177-3860
Phone
(386) 325-2836
Fax
(386) 325-2736
NPI assigned
Jul 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11014487 FL Primary

Addresses

Primary practice location

205 Zeagler Dr Ste 101
Palatka, FL 32177-3860

Mailing address

PO Box 551308
Jacksonville, FL 32255-1308
Phone (904) 493-3333

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
I20210902001371 FL Practitioner - Nurse Practitioner 1557767373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Coast Cardiovascular Institute, LLCGroup PAC ID 6002803020, 43 clinicians

Practice addresses (Care Compare)

205 Zeagler Dr
Palatka, FL 32177-3888
Phone (386) 325-2836

Hospital & facility affiliations

  • HCA Florida Putnam Hospital Hospital, Palatka, FL, CCN 100232

Merit-based Incentive Payment System (MIPS)

Final score
96.46 of 100Reported as group
Quality
91.35
Promoting interoperability
99
Improvement activities
40
Cost
81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11014487FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Coast Cardiovascular Institute, LLC CurrentSince Jun 17, 2024 Accepting new patients
First Coast Cardiovascular Institute LLC CurrentSince Jun 17, 2024 Accepting new patients
Clearwater Cardiovascular and Interventional Consultants MD PA Past Accepting new patients

Locations

3900 University Blvd S
Jacksonville, FL 32216
Phone (904) 222-6656

7011 A C Skinner Pkwy
Ste 160
Jacksonville, FL 32256
Phone (904) 642-0877

905 Beach Blvd
Jax Bch, FL 32250
Phone (904) 241-8300

1681 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 644-0092

1465 Kingsley Ave
Orange Park, FL 32073
Phone (904) 644-0092

205 Zeagler Dr
Palatka, FL 32177
Phone (386) 325-2836

205 Zeagler Dr
Ste 101
Palatka, FL 32177
Phone (321) 806-3949

Interoperability endpoints

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

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 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": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1295408482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551308",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322551308",
            "telephone_number": "904-493-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 ZEAGLER DR STE 101",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773860",
            "telephone_number": "386-325-2836",
            "fax_number": "386-325-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINKLEMAN",
        "first_name": "KORTNEY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11014487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatka, FL

Sources for this page

Verify at the official NPI Registry.