Individual provider Active NPI

Kristamarie F Collman, M.D.

  • Family Medicine Physician
  • Maitland, FL
National Provider Identifier
1578909347
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME121353 Issued in FL
Practice address
341 N Maitland Ave Ste 285
Maitland, FL 32751-4761
Phone
(407) 205-2994
Fax
(407) 550-3794
NPI assigned
May 20, 2013
Last updated
Aug 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME121353 FL Primary
Family Medicine Physician 207Q00000X 076490 GA
Family Medicine Physician 207Q00000X 0101265105 VA

Addresses

Primary practice location

341 N Maitland Ave Ste 285
Maitland, FL 32751-4761

Mailing address

341 N Maitland Ave Ste 285
Maitland, FL 32751-4761
Phone (407) 205-2994

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160121001225 FL Practitioner - Family Practice 5698915536 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York Medical College, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

101 Mission St
Suite 800
San Francisco, CA 94105-1705

6 Office Park Dr
Palm Coast, FL 32137-3808

8711 Perimeter Park Blvd
Suite 6
Jacksonville, FL 32216-6388

8711 Perimeter Park Blvd
Suite 6
Jacksonville, FL 32216-6389

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME121353FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Boynton Urgent Care, LLC Family Medicine CurrentSince Jun 2, 2023 Accepting new patients
Carespot of Orlando Hsi Urgent Care LLC Family Medicine CurrentSince Jun 2, 2023 Accepting new patients
Solantic of Jacksonville, LLC Family Medicine CurrentSince Jun 2, 2023 Accepting new patients
Shands/Solantic Joint Venture, LLC CurrentSince Jun 2, 2023 Accepting new patients
Hma/Solantic Joint Venture, LLC CurrentSince Jun 2, 2023 Accepting new patients
Solantic/South Florida, LLC CurrentSince Jun 2, 2023 Accepting new patients
Wellstar Medical Group, LLC PastSince Jan 3, 2018 Accepting new patients

Locations

3840 State Road 436
Ste 1
Apopka, FL 32703
Phone (407) 478-3202

8756 Boynton Rd W
Ste 150
Boynton Beach, FL 33472
Phone (561) 740-2273

1615 E Highway 50
Ste 200
Clermont, FL 34711
Phone (352) 404-4463

4450 N State Road 7
Ste 1
Coral Springs, FL 33073
Phone (423) 408-7220

3581 SW Archer Rd
Ste 40
Gainesville, FL 32608
Phone (352) 888-4449

3925 NW 43rd St
Gainesville, FL 32606
Phone (352) 371-1777

720 SW 2nd Ave
Ste 160A
Gainesville, FL 32601
Phone (352) 240-8000

1021 Cesery Blvd
Jacksonville, FL 32211
Phone (904) 743-2466

2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337

8711 Perimeter Park Blvd
Ste 6
Jacksonville, FL 32216
Phone (904) 223-2320

1414 E Osceola Pkwy
Kissimmee, FL 34744
Phone (407) 452-3700

18706 NW 67th Ave
Miami Gardens, FL 33015
Phone (786) 563-0280

2555 S Kirkman Rd
Orlando, FL 32811
Phone (407) 362-2030

9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881

151 Pine Lake Dr
Ste B
Ponte Vedra, FL 32081
Phone (904) 543-3677

784 E Prima Vista Blvd
Port St Lucie, FL 34952
Phone (772) 878-7311

129 S State Road 7
Ste 401
Royal Palm Beach, FL 33414
Phone (561) 425-7801

1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200

463941 State Road 200
Yulee, FL 32097
Phone (904) 572-1959

Networks

  • Freedom Health HMO Network

Organizations & group practices 7

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": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1578909347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 N MAITLAND AVE STE 285",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514761",
            "telephone_number": "407-205-2994",
            "fax_number": "407-550-3794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 N MAITLAND AVE STE 285",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514761",
            "telephone_number": "407-205-2994",
            "fax_number": "407-550-3794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLMAN",
        "first_name": "KRISTAMARIE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-20",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME121353",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "076490",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101265105",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.