Individual provider Active NPI

Kelly Cressman, APRN

  • Family Nurse Practitioner
  • Largo, FL
National Provider Identifier
1619539830
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11003001 Issued in FL
Practice address
13777 Belcher Rd S
Largo, FL 33771-4003
Phone
(727) 544-1600
Fax
(727) 545-2555
NPI assigned
Jul 8, 2019
Last updated
Nov 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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 APRN11003001 FL Primary

Addresses

Primary practice location

13777 Belcher Rd S
Largo, FL 33771-4003

Mailing address

13777 Belcher Rd S
Largo, FL 33771-4003
Phone (727) 544-1600

Other practice location 1

401 Corbett St Ste 300
Belleair, FL 33756-7303
Phone (727) 977-9717

Other practice location 2

4728 N Habana Ave Ste 101B
Tampa, FL 33614-7149
Phone (813) 775-9997

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
I20200224000468 FL Practitioner - Nurse Practitioner 1850728379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sage Infusion, LLCGroup PAC ID 1254660467, 44 clinicians

Practice addresses (Care Compare)

4728 N Habana Ave
Suite 101B
Tampa, FL 33614-7149
Phone (813) 775-9997

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Infusion, LLC CurrentSince Dec 7, 2020 Accepting new patients

Locations

401 Corbett St
Ste 300
Belleair, FL 33756
Phone (727) 442-6007

8880 Gladiolus Dr
Ste C200
Fort Myers, FL 33908
Phone (239) 533-5962

4728 N Habana Ave
Ste 101B
Tampa, FL 33614
Phone (813) 775-9997

910 Old Camp Rd
Ste 196
The Villages, FL 32162
Phone (352) 565-5553

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": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1619539830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13777 BELCHER RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337714003",
            "telephone_number": "727-544-1600",
            "fax_number": "727-545-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13777 BELCHER RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337714003",
            "telephone_number": "727-544-1600",
            "fax_number": "727-545-2555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Corbett St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Belleair",
            "state": "FL",
            "postal_code": "337567303",
            "country_code": "US",
            "telephone_number": "727-977-9717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4728 N Habana Ave Ste 101B",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336147149",
            "country_code": "US",
            "telephone_number": "813-775-9997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRESSMAN",
        "first_name": "KELLY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11003001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.