Kristen Lynn Tolley, MSN FNP-BC in Lakeland, FL

Kristen Lynn Tolley, MSN FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Lakeland, Florida. She went to University Of South Florida College Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Conviva Medical Center Management, Llc and her current practice location is 3655 Innovation Dr, Lakeland, Florida. You can reach out to her office (for appointments etc.) via phone at (863) 619-5999.

Kristen Lynn Tolley is licensed to practice in Florida (license number APRN11000524) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174095616.

Contact Information

	Kristen Lynn Tolley, MSN FNP-BC
	3655 Innovation Dr, Lakeland, FL 33812-4106
	(863) 619-5999
	Not Available

Map and Direction

Provider's Profile

Full Name	Kristen Lynn Tolley
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	3655 Innovation Dr, Lakeland, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kristen Lynn Tolley attended and graduated from University Of South Florida College Of Medicine in 2018

NPI Data:

NPI Number: 1174095616
Provider Enumeration Date: 12/21/2018
Last Update Date: 02/22/2024

Medicare PECOS Information:

PECOS PAC ID: 3971830605
Enrollment ID: I20190802003018

Medical Identifiers

Medical identifiers for Kristen Lynn Tolley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174095616	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN9354996 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN11000524 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Conviva Medical Center Management, Llc	4284717422	346

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. Kristen Lynn Tolley allows following entities to bill medicare on her behalf.

Entity Name	Internal Medicine Specialists Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760600142 PECOS PAC ID: 4981785094 Enrollment ID: O20080115000437

Entity Name	Conviva Medical Center Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415

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. Kristen Lynn Tolley 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 Address	Practice Location Address
Kristen Lynn Tolley, MSN FNP-BC 4700 Exploration Ave, Lakeland, FL 33812-3319 Ph: (888) 414-1413	Kristen Lynn Tolley, MSN FNP-BC 3655 Innovation Dr, Lakeland, FL 33812-4106 Ph: (863) 619-5999

Reviews and Comments

Nurse Practitioner Nurses in Lakeland, FL

Adelene Soto, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 930 Marcum Rd, Lakeland, FL 33809 Phone: 863-815-3775 Fax: 863-815-3765
Ana Lymaries Velez, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4715 S Florida Ave Ste 200, Lakeland, FL 33813 Phone: 863-209-7004 Fax: 863-607-3881
Jennifer Frasier, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-607-9776
Cheza Marie Wilkinson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7490 Fax: 866-264-8519
Andrea Beale, A.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1324 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-284-5020 Fax: 384-284-5387
Reanna Maxwell, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2024 Edgewood Dr S, Lakeland, FL 33803 Phone: 863-232-4323 Fax: 863-337-5728
Anjali Nair, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7190 Fax: 866-264-8519

Kristen Lynn Tolley, MSN FNP-BC - Medicare Nurse Practitioner in Lakeland, FL