Kelly Christine Wombles, PMHNP - Medicare Nurse Practitioner in Brandon, FL

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Kelly Christine Wombles, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Brandon, Florida. Her current practice location is 1602 Oakfield Dr Ste 205, Brandon, Florida. You can reach out to her office (for appointments etc.) via phone at (239) 690-6906.

Kelly Christine Wombles is licensed to practice in Florida (license number 11028684) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336920875.

Contact Information

Kelly Christine Wombles, PMHNP
1602 Oakfield Dr Ste 205,
Brandon, FL 33511-0827
(239) 690-6906
Not Available

Map and Direction




Provider's Profile

Full NameKelly Christine Wombles
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1602 Oakfield Dr Ste 205, Brandon, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336920875
  • Provider Enumeration Date: 10/10/2023
  • Last Update Date: 10/14/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1254787351
  • Enrollment ID: I20231025004062

Medical Identifiers

Medical identifiers for Kelly Christine Wombles such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336920875NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 11028684 (Florida)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN11028684 (Florida)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Christine Wombles allows following entities to bill medicare on her behalf.
Entity NameAshit K Vijapura Md Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154517068
PECOS PAC ID: 8527198555
Enrollment ID: O20100617000312
Entity NameGrow Healthcare Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20210414000053
Entity NameTranquility Oasis Psychiatry Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023871928
PECOS PAC ID: 1254775133
Enrollment ID: O20240219003288

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. Kelly Christine Wombles is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Christine Wombles, PMHNP
Po Box 92838,
Lakeland, FL 33804-2838

Ph: (863) 602-3797		Kelly Christine Wombles, PMHNP
1602 Oakfield Dr Ste 205,
Brandon, FL 33511-0827

Ph: (239) 690-6906

Reviews and Comments


Nurse Practitioner Nurses in Brandon, FL

Mindy Connors, ARNP, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 635 Eichenfeld Dr, Brandon, FL 33511
Phone: 813-684-6000    
Dr. Shawn Blouin, DNP, ARNP, AGACNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 119 Oakfield Dr, Brandon, FL 33511
Phone: 813-681-5551    
Mrs. Kimberly Mcfarling Davis, ARNP
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Practice Location: 1771 S Kings Ave, Brandon, FL 33511
Phone: 813-345-4044    
Derek Hoffert, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 119 Oakfield Dr, Brandon, FL 33511
Phone: 813-681-5551    
Herbert Wilson,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1307 Providence Rd, Brandon, FL 33511
Phone: 813-655-4646    Fax: 813-655-4113
Maylin Barrios, APRN
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Medicare: Medicare Enrolled
Practice Location: 604 Medical Care Dr, Brandon, FL 33511
Phone: 813-448-2081    
Mrs. Linda Jean Hubsmith, ARNP(F-PC FMHNP)
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1119 Nikki View Dr, Brandon, FL 33511
Phone: 813-947-3050    Fax: 813-436-0809

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.