Individual provider Active NPI

Kailey Jo McKenna, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sebring, FL
National Provider Identifier
1396505434
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11031498 Issued in FL
Practice address
931 Mall Ring Rd
Sebring, FL 33870-8515
Phone
(863) 312-8523
Fax
(863) 456-1327
NPI assigned
Mar 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 11031498 FL Primary

Addresses

Primary practice location

931 Mall Ring Rd
Sebring, FL 33870-8515

Mailing address

320 Hollenberg Rd
Sebring, FL 33875-6718
Phone (863) 605-4521

Other practice location 1

4700 Millenia Blvd Ste 500
Orlando, FL 32839-6019
Phone (813) 467-6111

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
I20240816000168 FL Practitioner - Nurse Practitioner 9931647310 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Behavioral Sciences- Orlando LLCGroup PAC ID 9739420654, 35 clinicians

Practice addresses (Care Compare)

4700 Millenia Blvd
Suite 500
Orlando, FL 32839-6019
Phone (813) 277-4571

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11031498FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Behavioral Sciences Orlando LLC Single Specialty CurrentSince Jul 7, 2025 Accepting new patients

Locations

4700 Millenia Blvd
Ste 500
Orlando, FL 32839
Phone (813) 277-4571

5510 N Hesperides St
Tampa, FL 33614
Phone (727) 418-2567

Organizations & group practices 4

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": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1396505434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 HOLLENBERG RD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338756718",
            "telephone_number": "863-605-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 MALL RING RD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338708515",
            "telephone_number": "863-312-8523",
            "fax_number": "863-456-1327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Millenia Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328396019",
            "country_code": "US",
            "telephone_number": "813-467-6111",
            "fax_number": "813-467-6013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "KAILEY",
        "middle_name": "JO",
        "credential": "APRN, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11031498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.