Individual provider Active NPI

Kelle Christine Degroat, APRN

  • Family Nurse Practitioner
  • Trinity, FL
National Provider Identifier
1487122297
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11000089 Issued in FL
Practice address
1818 Short Branch Dr Ste 102
Trinity, FL 34655-4425
Phone
(727) 372-4500
NPI assigned
Nov 9, 2018
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11000089 FL Primary

Addresses

Primary practice location

1818 Short Branch Dr Ste 102
Trinity, FL 34655-4425

Mailing address

7210 Red Oak Loop
New Port Richey, FL 34654-5714
Phone (727) 364-1725

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
I20240723001778 FL Practitioner - Nurse Practitioner 2264978543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gi Health Specialists of Florida LLCGroup PAC ID 4789020843, 7 clinicians

Practice addresses (Care Compare)

Tampa, FL 33626
Phone (904) 859-5029

1307 W Kennedy Blvd
Tampa General Rehabilitation Hospital
Tampa, FL 33606-1848
Phone (813) 893-5000

3840 Atmore Grove Dr
Lutz, FL 33548-7903
Phone (813) 607-3600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11000089FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gi Health Specialists of Florida LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

6020 Indiana Ave
New Prt Rchy, FL 34653
Phone (352) 860-0200

12191 W Linebaugh Ave
Westchase, FL 33626

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": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1487122297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 RED OAK LOOP",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346545714",
            "telephone_number": "727-364-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 SHORT BRANCH DR STE 102",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554425",
            "telephone_number": "727-372-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGROAT",
        "first_name": "KELLE",
        "middle_name": "CHRISTINE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

Verify at the official NPI Registry.