Individual provider Active NPI

Kellaney Pieniazek

  • Family Nurse Practitioner
  • Gibsonton, FL
National Provider Identifier
1750158382
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11029809 Issued in FL
Practice address
6921 Waterbrook CT
Gibsonton, FL 33534-3924
Phone
(813) 525-5463
NPI assigned
Dec 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X APRN11029809 FL Primary

Addresses

Primary practice location

6921 Waterbrook CT
Gibsonton, FL 33534-3924

Mailing address

6921 Waterbrook CT
Gibsonton, FL 33534-3924
Phone (813) 525-5463

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
I20250808000101 FL Practitioner - Nurse Practitioner 1355849431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Florida PLLCGroup PAC ID 6204166762, 31 clinicians

Practice addresses (Care Compare)

4610 S Manhattan Ave
Tampa, FL 33611-2308
Phone (813) 839-5311

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11029809FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Florida PLLC Multi-Specialty CurrentSince Aug 1, 2025 Accepting new patients

Locations

4610 S Manhattan Ave
Tampa, FL 33611
Phone (813) 752-7000

2811 Campus Hill Dr
Tampa, FL 33612
Phone (813) 972-9700

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

Interoperability endpoints

  • Direct secure messaging: kellaney.pieniazek.1@8211.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1750158382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6921 WATERBROOK CT",
            "city": "GIBSONTON",
            "state": "FL",
            "postal_code": "335343924",
            "telephone_number": "813-525-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6921 WATERBROOK CT",
            "city": "GIBSONTON",
            "state": "FL",
            "postal_code": "335343924",
            "telephone_number": "813-525-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIENIAZEK",
        "first_name": "KELLANEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11029809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibsonton, FL

Sources for this page

Verify at the official NPI Registry.