Active NPI
Kimberly Kay Nelson, APRN
- Family Nurse Practitioner
- Winter Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN1803702
- Practice address
- 100 N Edinburgh Dr Ste 102
Winter Park, FL 32792-4125 - Phone
- (407) 845-8366
- Fax
- (407) 845-8367
- NPI assigned
- Mar 3, 2017
- Last updated
- Jun 23, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP1803702 | FL | |
| Family Nurse Practitioner | 363LF0000X | APRN1803702 | FL | Primary |
Addresses
Primary practice location
100 N Edinburgh Dr Ste 102
Winter Park, FL 32792-4125
Mailing address
100 N Edinburgh Dr Ste 102
Winter Park, FL 32792-4125
Phone (407) 845-8366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021438200 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
910 Old Camp Rd
Suite 196
The Villages, FL 32162-5605
Phone (352) 565-5553
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP1803702 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Infusion, LLC | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Nurse Practitioner | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Current | Accepting new patients |
Locations
8880 Gladiolus Dr
Ste C200
Fort Myers, FL 33908
Phone (239) 533-5962
8550 NE 138th Ln
Ste 502
Lady Lake, FL 32159
Phone (352) 810-3536
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
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
100 N Edinburgh Dr
Ste 102
Winter Park, FL 32792
Phone (407) 303-4190
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- knelson129009@adventhealth.direct-ci.com
Organizations & group practices 3
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.
-
- Infusion Therapy Clinic/Center
- Tampa, FL
- NPI 1013578442
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
Nurse Practitioner
-
dba Rothman Orthopaedics AdventHealth Medical Group at Minneola
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750636800000",
"number": "1689114050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N EDINBURGH DR STE 102",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327924125",
"telephone_number": "407-845-8366",
"fax_number": "407-845-8367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N EDINBURGH DR STE 102",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327924125",
"telephone_number": "407-845-8366",
"fax_number": "407-845-8367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "KIMBERLY",
"middle_name": "KAY",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-03",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP1803702",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN1803702",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021438200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.