Individual provider Active NPI

Kimberly Hartzell, M.D.

  • Pediatric Pulmonology Physician
  • Melbourne, FL
National Provider Identifier
1831324094
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
ME122825 Issued in FL
Practice address
8061 Spyglass Hill Rd Ste 103
Melbourne, FL 32940-8297
Phone
(407) 898-2767
NPI assigned
May 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology Physician 2080P0214X ME122825 FL Primary

Addresses

Primary practice location

8061 Spyglass Hill Rd Ste 103
Melbourne, FL 32940-8297

Mailing address

8061 Spyglass Hill Rd Ste 103
Melbourne, FL 32940-8297
Phone (407) 898-2767

Other practice location 1

561 NW Lake Whitney Pl Ste 101
Port St Lucie, FL 34986-1624
Phone (407) 898-2767

Other practice location 2

2660 W Fairbanks Ave
Winter Park, FL 32789-3385
Phone (407) 898-2767

Other identifiers 1

IdentifierTypeStateIssuer
110892900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME122825FLMDPediatric Pulmonology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. Past Accepting new patients
Orlando Pediatric Pulmonary and Sleep Associates PA Pediatric Pulmonology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: khartzell71578@epicdirect.hf.org

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": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1831324094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8061 SPYGLASS HILL RD STE 103",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408297",
            "telephone_number": "407-898-2767",
            "fax_number": "205-975-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8061 SPYGLASS HILL RD STE 103",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408297",
            "telephone_number": "407-898-2767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "561 NW Lake Whitney Pl Ste 101",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349861624",
            "country_code": "US",
            "telephone_number": "407-898-2767",
            "fax_number": "407-898-9443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2660 W Fairbanks Ave",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327893385",
            "country_code": "US",
            "telephone_number": "407-898-2767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTZELL",
        "first_name": "KIMBERLY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "FL",
            "license": "ME122825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110892900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.