Individual provider Active NPI

Kesann Kina Dormand

  • Family Nurse Practitioner
  • Palm Beach Gardens, FL
National Provider Identifier
1639794282
Registry record updated Mar 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11007334 Issued in FL
Practice address
9121 N Military TRL Ste 111
Palm Beach Gardens, FL 33410-5985
Phone
(561) 626-7604
Fax
(877) 266-6973
NPI assigned
Jun 10, 2020
Last updated
Mar 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2026

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 APRN11007334 FL Primary

Addresses

Primary practice location

9121 N Military TRL Ste 111
Palm Beach Gardens, FL 33410-5985

Mailing address

9121 N Military TRL Ste 111
Palm Beach Gardens, FL 33410-5985
Phone (561) 626-7604

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kesann.dormand.1@29601.direct.athenahealth.com

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
I20210720000623 FL Practitioner - Nurse Practitioner 3274936943 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

9121 N Military TRL
Suite 111
Palm Beach Gardens, FL 33410-5985
Phone (561) 626-7604

Merit-based Incentive Payment System (MIPS)

Final score
87.66 of 100Reported as group
Quality
73.72
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11007334FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Acute Care Consultants, LLC CurrentSince Sep 2, 2024 Accepting new patients
Nursing Home Physicians PA Family CurrentSince Jul 14, 2021 Accepting new patients
Conviva Medical Center Management LLC CurrentSince Oct 27, 2025 Accepting new patients
Health and Wellness Premium Services LLC Family Current Accepting new patients
Bella Chokshi DO PA CurrentSince Jun 1, 2021 Accepting new patients
Nursing Home Consultants LLC PastSince Jul 14, 2021 Accepting new patients

Locations

1615 Miami Rd
Ft Lauderdale, FL 33316
Phone (954) 523-5673

6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686

440 W 49th St
Hialeah, FL 33012
Phone (305) 828-5000

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

9611 N US Highway 1
Sebastian, FL 32958
Phone (772) 332-5211

7901 4th St N
Ste 300
St Petersburg, FL 33702
Phone (305) 204-3616

5850 SE Community Dr
Stuart, FL 34997
Phone (772) 223-3465

227 Professional Way
Wellington, FL 33414
Phone (561) 318-8440

227 Professional Way
Ste 100
Wellington, FL 33414
Phone (561) 318-8440

9121 N Military Trl
Ste 111
West Palm Beach, FL 33410
Phone (561) 626-7604

Interoperability endpoints

  • Direct secure messaging: kesann.dormand.1@29601.direct.athenahealth.com

Organizations & group practices 6

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": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773532800000",
    "number": "1639794282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9121 N MILITARY TRL STE 111",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105985",
            "telephone_number": "561-626-7604",
            "fax_number": "877-266-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9121 N MILITARY TRL STE 111",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105985",
            "telephone_number": "561-626-7604",
            "fax_number": "877-266-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORMAND",
        "first_name": "KESANN",
        "middle_name": "KINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2026-03-15",
        "certification_date": "2026-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11007334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kesann.dormand.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "9121 N Military Trl Ste 111",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334105985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.