Individual provider Active NPI

Kylie Bollinger, FNP-C

  • Cardiovascular Disease Physician
  • New Port Richey, FL
National Provider Identifier
1720958846
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
11043273 Issued in FL
Practice address
5340 Gulf Dr Ste 101
New Port Richey, FL 34652-3922
Phone
(727) 947-3770
NPI assigned
Nov 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11043273 FL
Cardiovascular Disease Physician 207RC0000X 11043273 FL Primary

Addresses

Primary practice location

5340 Gulf Dr Ste 101
New Port Richey, FL 34652-3922

Mailing address

13037 Wyndale Dr
Hudson, FL 34667-2113
Phone (951) 229-5593

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
I20260611001361 FL Practitioner - Nurse Practitioner 0547732422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13037 Wyndale Dr
Hudson, FL 34667-2113

5340 Gulf Dr
New Port Richey, FL 34652-3909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11043273FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Satish Sivasankaran MD PA CurrentSince Nov 9, 2025 Accepting new patients
Juan Sanchez MD PA PastSince Nov 9, 2025 Accepting new patients

Locations

5340 Gulf Dr
Ste 101
New Prt Rchy, FL 34652
Phone (727) 847-1111

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1720958846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13037 WYNDALE DR",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346672113",
            "telephone_number": "951-229-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 GULF DR STE 101",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346523922",
            "telephone_number": "727-947-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLINGER",
        "first_name": "KYLIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11043273",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "11043273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.