Kellie Jean Fortner, ARNP - Nurse Practitioner in St Augustine, FL

Kellie Jean Fortner, ARNP is a Nurse Practitioner - Family based in St Augustine, Florida. Kellie Jean Fortner is licensed to practice in Florida (license number ARNP9266139) and her current practice location is 400 Health Park Blvd, Ste 300, St Augustine, Florida. She can be reached at her office (for appointments etc.) via phone at (904) 819-5155.

NPI number for Kellie Jean Fortner is 1306190319 and her current mailing address is 400 Health Park Blvd, Ste 300, St Augustine, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306190319.

Contact Information

Kellie Jean Fortner, ARNP
400 Health Park Blvd, Ste 300,
St Augustine, FL 32086-5784
(904) 819-5155
Not Available

Map and Direction




Provider's Profile

Full NameKellie Jean Fortner
GenderFemale
SpecialityNurse Practitioner - Family
Location400 Health Park Blvd, St Augustine, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306190319
  • Provider Enumeration Date: 10/30/2012
  • Last Update Date: 06/17/2013

Medical Identifiers

Medical identifiers for Kellie Jean Fortner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306190319NPI-NPPES
P01160791OtherFLRAILROAD
008049800MedicaidFL
Y0F42OtherFLBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family ARNP9266139 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kellie Jean Fortner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kellie Jean Fortner, ARNP
400 Health Park Blvd, Ste 300,
St Augustine, FL 32086-5784

Ph: () -
Kellie Jean Fortner, ARNP
400 Health Park Blvd, Ste 300,
St Augustine, FL 32086-5784

Ph: (904) 819-5155

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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