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Individual provider Active NPI

Andrea L Kichline, APRN

  • Adult Health Nurse Practitioner
  • Casselberry, FL
National Provider Identifier
1487969101
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9224467 Issued in FL
Practice address
985 State Road 436
Casselberry, FL 32707-5664
Phone
(407) 831-5252
Fax
(407) 831-3765
NPI assigned
Aug 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9224467 FL
Adult Health Nurse Practitioner 363LA2200X ARNP9224467 FL Primary

Addresses

Primary practice location

985 State Road 436
Casselberry, FL 32707-5664

Mailing address

5557 Rutherford PL
Oviedo, FL 32765-3420
Phone (941) 345-3045

Other identifiers 2

IdentifierTypeStateIssuer
ARNP9224467OtherFLLICENSE NUMBER
008895500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928001706 FL Practitioner - Nurse Practitioner 6608992599 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
On Site Dermatology LLCGroup PAC ID 5991736837, 20 clinicians

Practice addresses (Care Compare)

4700 Exchange CT
Suite 110
Boca Raton, FL 33431-4450
Phone (877) 345-5300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
On Site Dermatology LLC CurrentSince Dec 15, 2025 Accepting new patients
Hospitalist Medicine Physicians of Florida - Jacksonville II LLC CurrentSince Mar 11, 2024 Accepting new patients

Locations

4700 Exchange Ct
Ste 110
Boca Raton, FL 33431
Phone (561) 223-8081

1080 NW 15th St
Boca Raton, FL 33486
Phone (561) 330-8451

785 S 2nd St
Defuniak Springs, FL 32435
Phone (850) 892-2176

5300 W 16th Ave
Hialeah, FL 33012
Phone (305) 290-3801

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

1300 Hempel Ave
Ocoee, FL 34761
Phone (321) 841-9016

5201 Curry Ford Rd
Orlando, FL 32812
Phone (407) 384-8838

2250 Indian Creek Blvd W
Vero Beach, FL 32966
Phone (772) 562-7400

Interoperability endpoints

  • Direct secure messaging: andreakichline@cfppgpl.allscriptsdirect.net

Organizations & group practices 2

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 11

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": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1487969101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5557 RUTHERFORD PL",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327653420",
            "telephone_number": "941-345-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 STATE ROAD 436",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075664",
            "telephone_number": "407-831-5252",
            "fax_number": "407-831-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KICHLINE",
        "first_name": "ANDREA",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9224467",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9224467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "ARNP9224467",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008895500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

Verify at the official NPI Registry.