Kimberlei M Faller, FNP-BC, PMHNP-BC - Medicare Nurse Practitioner in Live Oak, FL

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Kimberlei M Faller, FNP-BC, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Live Oak, Florida. Her current practice location is 215 Howard St W, Live Oak, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 319-0709.

Kimberlei M Faller is licensed to practice in Florida (license number APRN11001792) 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 1467910109.

Contact Information

Kimberlei M Faller, FNP-BC, PMHNP-BC
215 Howard St W,
Live Oak, FL 32064-2303
(386) 319-0709
Not Available

Map and Direction




Provider's Profile

Full NameKimberlei M Faller
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location215 Howard St W, Live Oak, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467910109
  • Provider Enumeration Date: 03/12/2019
  • Last Update Date: 10/02/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5799217725
  • Enrollment ID: I20241016000719

Medical Identifiers

Medical identifiers for Kimberlei M Faller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467910109NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner APRN11001792 (Florida)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN11001792 (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. Kimberlei M Faller allows following entities to bill medicare on her behalf.
Entity NameGrow Healthcare Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20210414000053

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. Kimberlei M Faller 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
Kimberlei M Faller, FNP-BC, PMHNP-BC
215 Howard St W,
Live Oak, FL 32064-2303

Ph: (386) 319-0709		Kimberlei M Faller, FNP-BC, PMHNP-BC
215 Howard St W,
Live Oak, FL 32064-2303

Ph: (386) 319-0709

Reviews and Comments


Nurse Practitioner Nurses in Live Oak, FL

Cheryl Renae Abersold, APRN
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Phone: 386-330-5248    Fax: 386-208-1380
Valeria Nicole Randle, APRN
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Susan Michelle Blizzard,
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Phone: 386-364-1751    Fax: 386-364-1761
Mrs. Melissa Fay Peters, ARNP
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Practice Location: 1304 Ohio Ave S, Live Oak, FL 32064
Phone: 386-364-0776    
Kristina Melissa North, APRN
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Medicare: Accepting Medicare Assignments
Practice Location: 1100 11th St Sw, Live Oak, FL 32064
Phone: 386-362-0800    

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.