Porscha Shantell Kimbro, ARNP - Medicare Nurse Practitioner in Orange City, FL

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Porscha Shantell Kimbro, ARNP is a medicare enrolled "Nurse Practitioner" in Orange City, Florida. Her current practice location is 1043 Town Center Dr, Orange City, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 774-0188.

Porscha Shantell Kimbro is licensed to practice in Florida (license number 11007402) 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 1831780014.

Contact Information

Porscha Shantell Kimbro, ARNP
1043 Town Center Dr,
Orange City, FL 32763-8360
(386) 774-0188
Not Available

Map and Direction




Provider's Profile

Full NamePorscha Shantell Kimbro
GenderFemale
SpecialityNurse Practitioner
Location1043 Town Center Dr, Orange City, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1831780014
  • Provider Enumeration Date: 01/29/2021
  • Last Update Date: 01/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1951791649
  • Enrollment ID: I20211213001472

Medical Identifiers

Medical identifiers for Porscha Shantell Kimbro such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831780014NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 11007402 (Florida)Primary

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. Porscha Shantell Kimbro allows following entities to bill medicare on her behalf.
Entity NameAdventist Health System/sunbelt, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073565610
PECOS PAC ID: 6406849256
Enrollment ID: O20040406001849
Entity NameFlorida Hospital Healthcare Partners, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780100529
PECOS PAC ID: 7012266836
Enrollment ID: O20180831000335

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. Porscha Shantell Kimbro 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
Porscha Shantell Kimbro, ARNP
3030 Galaxy St,
Deltona, FL 32738-7216

Ph: (407) 574-1776		Porscha Shantell Kimbro, ARNP
1043 Town Center Dr,
Orange City, FL 32763-8360

Ph: (386) 774-0188

Reviews and Comments


Nurse Practitioner Nurses in Orange City, FL

Ashley Nicole Briggs, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2777 Enterprise Rd Ste 4, Orange City, FL 32763
Phone: 386-774-2550    Fax: 386-774-5140
Mrs. Juliet Omonme Agbator, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 955 Town Center Dr Ste 100, Orange City, FL 32763
Phone: 386-228-0661    
Ms. Traci Lynn Zimmer, AGNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 341 W Minnesota Ave, Orange City, FL 32763
Phone: 386-316-5439    
Mrs. Cristyl Rachelle Mcclure, MSN, APRN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1055 Saxon Blvd, Orange City, FL 32763
Phone: 386-917-5508    
Rebecca Kochanowicz, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2824 Enterprise Rd, Orange City, FL 32763
Phone: 386-774-7411    Fax: 386-774-7412
Mrs. Lois Kimberly Steinbaum, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2864 Wellness Ave Ste 200, Orange City, FL 32763
Phone: 386-775-0333    
Marissa Wagner, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2884 Wellness Ave Ste 100, Orange City, FL 32763
Phone: 386-668-2221    

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.