Nicole Kallstrom, - Pediatrics in Hollywood, FL

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Nicole Kallstrom, is a Pediatrics - Pediatric Critical Care Medicine based in Hollywood, Florida. Nicole Kallstrom is licensed to practice in Florida (license number ARNP934484) and her current practice location is 3501 Johnson St, Hollywood, Florida. She can be reached at her office (for appointments etc.) via phone at (954) 265-5970.

NPI number for Nicole Kallstrom is 1477079168 and her current mailing address is 1117 E Hallandale Beach Blvd, Hallandale Beach, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477079168.

Contact Information

Nicole Kallstrom,
3501 Johnson St,
Hollywood, FL 33021-5421
(954) 265-5970
Not Available

Map and Direction




Provider's Profile

Full NameNicole Kallstrom
GenderFemale
SpecialityPediatrics - Pediatric Critical Care Medicine
Location3501 Johnson St, Hollywood, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1477079168
  • Provider Enumeration Date: 08/15/2017
  • Last Update Date: 03/23/2021

Medical Identifiers

Medical identifiers for Nicole Kallstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477079168NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family ARNP934484 (Florida)Secondary
2080P0203XPediatrics - Pediatric Critical Care Medicine ARNP934484 (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. Nicole Kallstrom 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
Nicole Kallstrom,
1117 E Hallandale Beach Blvd,
Hallandale Beach, FL 33009-4488

Ph: () -		Nicole Kallstrom,
3501 Johnson St,
Hollywood, FL 33021-5421

Ph: (954) 265-5970

Reviews and Comments



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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.