Porscha Shantell Kimbro, ARNP in Orange City, FL

Porscha Shantell Kimbro, ARNP is a medicare enrolled "Nurse Practitioner" in Orange City, Florida. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Adventist Health System/sunbelt, Inc. and 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 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 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 Name	Porscha Shantell Kimbro
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	1043 Town Center Dr, Orange City, 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:

Porscha Shantell Kimbro graduated from nursing school in 2019

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.

Identifier	Type	State	Issuer
1831780014	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	11007402 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventhealth Orlando	Orlando, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Adventist Health System/sunbelt, Inc.	6406849256	181

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 Name	Adventist Health System/sunbelt, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073565610 PECOS PAC ID: 6406849256 Enrollment ID: O20040406001849

Entity Name	Florida Hospital Healthcare Partners, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice 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
Mrs. Lois Kimberly Steinbaum, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2864 Wellness Ave Ste 200, Orange City, FL 32763 Phone: 386-775-0333
Marissa Wagner, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2884 Wellness Ave Ste 100, Orange City, FL 32763 Phone: 386-668-2221
Cameka Campbell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1133 Saxon Blvd, Orange City, FL 32763 Phone: 386-878-4137

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