Individual provider Active NPI

Kjersti L Schwartz, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Zephyrhills, FL
National Provider Identifier
1346659992
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP9448012 Issued in FL
Practice address
37840 Medical Arts CT
Zephyrhills, FL 33541-4325
Phone
(352) 518-2000
Fax
(352) 567-0218
NPI assigned
Aug 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X FL
Registered Nurse 163W00000X 200741652RN OR
Family Nurse Practitioner 363LF0000X ARNP9448012 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP9448012 FL Primary

Addresses

Primary practice location

37840 Medical Arts CT
Zephyrhills, FL 33541-4325

Mailing address

4193 Canino CT
Wesley Chapel, FL 33543-6408

Other identifiers 2

IdentifierTypeStateIssuer
020871400MedicaidFL
500679423MedicaidOR

Other names 1

  • Kjersti Sikes Former name

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
I20170927002404 FL Practitioner - Nurse Practitioner 2668795170 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9448012FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Community Healthcare Group Inc CurrentSince Nov 13, 2023 Accepting new patients
Nouveau Hope Counseling, LLC CurrentSince Aug 1, 2021 Accepting new patients
Divine Minds Wellness CurrentSince Aug 1, 2021 Accepting new patients
Premier Community Healthcare Group, Inc. CurrentSince Nov 13, 2023 Accepting new patients
His Storehouse Outreach, Inc. Past Accepting new patients

Locations

14027 5th St
Dade City, FL 33525
Phone (813) 782-6064

2240 Twelve Oaks Way
Ste 102
Wesley Chapel, FL 33544
Phone (813) 713-9402

37840 Medical Arts Ct
Zephyrhills, FL 33541
Phone (813) 788-5569

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1346659992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4193 CANINO CT",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335436408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37840 MEDICAL ARTS CT",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335414325",
            "telephone_number": "352-518-2000",
            "fax_number": "352-567-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "KJERSTI",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-07",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "200741652RN",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9448012",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP9448012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020871400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500679423",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KJERSTI",
            "last_name": "SIKES",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.