Individual provider Active NPI

Kristine Andrea Signorini, APRN, MS

  • Nurse Practitioner
  • Lutz, FL
National Provider Identifier
1720355779
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9242219 Issued in FL
Practice address
208 Crystal Grove Blvd
Lutz, FL 33548-6460
Phone
(813) 949-4991
Fax
(813) 949-4986
NPI assigned
Nov 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9242219 FL Primary

Addresses

Primary practice location

208 Crystal Grove Blvd
Lutz, FL 33548-6460

Mailing address

208 Crystal Grove Blvd
Lutz, FL 33548-6460
Phone (813) 909-1600

Other identifiers 2

IdentifierTypeStateIssuer
Y09UHOtherFLFLORIDA BLUE
009431300MedicaidFL

Other names 1

  • Kristine Andrea Bamford Former name

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
I20120131000947 FL Practitioner - Nurse Practitioner 9032376108 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellmed Medical Management of Florida IncGroup PAC ID 3971678558, 158 clinicians
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

Practice addresses (Care Compare)

1259 S Pinellas Ave
Tarpon Springs, FL 34689-3719
Phone (727) 938-1908

2044 Trinity Oaks Blvd
Suite 220
Trinity, FL 34655-4406
Phone (727) 645-6900

2940 S US Hwy 1
Suite C11 Wellmed at Fort Pierce
Fort Pierce, FL 34982-8143
Phone (772) 466-6855

5130 Sunforest Dr
Suite 300
Tampa, FL 33634-6327
Phone (727) 824-0780

6350 Central Ave
St Petersburg, FL 33707-1430
Phone (727) 381-1144

Hospital & facility affiliations

  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9242219FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis Associates of Florida, PA CurrentSince Mar 23, 2020 Accepting new patients
Wellmed Medical Management of Florida Inc CurrentSince Sep 1, 2024 Accepting new patients
Optumcare Florida Ci, LLC Past Accepting new patients

Locations

2940 S US Highway 1
Ste C11
Fort Pierce, FL 34982
Phone (407) 423-5178

33920 US Highway 19 N
Ste 241
Palm Harbor, FL 34684
Phone (727) 773-9793

5130 Sunforest Dr
Ste 300
Tampa, FL 33634
Phone (813) 302-5835

1259 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 938-1908

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: kristine.signorini@wellmed.eclinicaldirectplus.com

Organizations & group practices 4

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 1

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": "1321574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1720355779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 CRYSTAL GROVE BLVD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335486460",
            "telephone_number": "813-909-1600",
            "fax_number": "813-909-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 CRYSTAL GROVE BLVD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335486460",
            "telephone_number": "813-949-4991",
            "fax_number": "813-949-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGNORINI",
        "first_name": "KRISTINE",
        "middle_name": "ANDREA",
        "credential": "APRN, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-18",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9242219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "Y09UH",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009431300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "BAMFORD",
            "middle_name": "ANDREA",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.