Individual provider Active NPI

Kelli Katsimbrakis

  • Nurse Practitioner
  • Wesley Chapel, FL
National Provider Identifier
1336012699
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11040414 Issued in FL
Practice address
2590 Healing Way Ste 210
Wesley Chapel, FL 33543-5497
Phone
(813) 467-4285
Fax
(813) 782-5732
NPI assigned
Sep 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11040414 FL
Nurse Practitioner 363L00000X 11040414 FL Primary

Addresses

Primary practice location

2590 Healing Way Ste 210
Wesley Chapel, FL 33543-5497

Mailing address

2590 Healing Way Ste 210
Wesley Chapel, FL 33543-5497
Phone (813) 467-4285

Other practice location 1

2700 Healing Way
Wesley Chapel, FL 33543-5453
Phone (352) 454-3476

Other identifiers 1

IdentifierTypeStateIssuer
129232700MedicaidFL

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
I20251112000203 FL Practitioner - Nurse Practitioner 6204327810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

2700 Healing Way
Wesley Chapel, FL 33543-5453

8550 NE 138TH LN
Suite 401
Lady Lake, FL 32159-8957
Phone (352) 674-4136

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11040414FLMDNurse Practitioner
APRN11040414FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc Nurse Practitioner CurrentSince Nov 16, 2025 Accepting new patients

Locations

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

2700 Healing Way
Wesley Chapel, FL 33543
Phone (352) 454-3476

2590 Healing Way
Ste 210
Wesley Chapel, FL 33543
Phone (813) 467-4285

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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, 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": "1758672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1336012699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 HEALING WAY STE 210",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335435497",
            "telephone_number": "813-467-4285",
            "fax_number": "813-782-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 HEALING WAY STE 210",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335435497",
            "telephone_number": "813-467-4285",
            "fax_number": "813-782-5732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Healing Way",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335435453",
            "country_code": "US",
            "telephone_number": "352-454-3476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATSIMBRAKIS",
        "first_name": "KELLI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-24",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11040414",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11040414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129232700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.