MR. KEVIN HARTZOG JR. ARNP
NPI 1093280380
Nurse Practitioner - Family in Tampa, FL
About Mr. Kevin Hartzog Jr. Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KEVIN HARTZOG JR. ARNP (NPI 1093280380) is an individual family provider in Tampa, Florida, licensed in Florida (9374252) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Kevin Hartzog Jr. Arnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Kevin Hartzog reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Clearwater, FL 33759
- Reassigned Medicare billing, Florida enrollment
- 15 clinicians in this Medicare group
Toledo, OH 43604
- Reassigned Medicare billing, Florida enrollment
- 29 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33606 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TAMPA, FL 33606
TAMPA, FL 33606
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kevin Hartzog's NPI number?
The NPI number for Kevin Hartzog is 1093280380. It was assigned to this individual provider in the NPPES registry on October 12, 2018.
Where is Kevin Hartzog located?
Kevin Hartzog practices at 401 W Kennedy Blvd, Tampa, FL 33606. The listed phone number is (727) 215-3850.
What is Kevin Hartzog's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kevin Hartzog enrolled in Medicare?
Yes. Kevin Hartzog is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kevin Hartzog's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Hartzog reassigns Medicare benefits to 2 organizations: Advanced Integrated Rehabilitation, LLC (Clearwater, FL) and Hcr Manorcare Medical Services Of Florida LLC (Toledo, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Hartzog's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kevin Hartzog was last updated on October 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Kevin Hartzog Jr., ARNP · NPI 1093280380
Family physician in Tampa, Florida. Individual provider, active in the CMS NPPES registry since October 12, 2018.
## Identity
- **NPI:** 1093280380 (Entity type: Individual)
- **Enumerated:** October 12, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 9374252 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 401 W KENNEDY BLVD, Tampa, FL 33606-1450
- **Phone:** (727) 215-3850
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Advanced Integrated Rehabilitation, LLC (NPI 1023555695, Clearwater, FL); Hcr Manorcare Medical Services Of Florida LLC (NPI 1386750420, Toledo, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** October 12, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1093280380) · Data from the CMS NPPES public registry.