HERBERT KALEN NP-C
NPI 1124699293
Nurse Practitioner - Family in Punta Gorda, FL
About Herbert Kalen Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HERBERT KALEN NP-C (NPI 1124699293) is an individual family provider in Punta Gorda, Florida, licensed in Florida (11014053) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Herbert Kalen Np-c 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
8Medicare enrollment records show Herbert Kalen reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cape Coral, FL 33990
- Reassigned Medicare billing, Florida enrollment
- 7 clinicians in this Medicare group
Tampa, FL 33634
- Reassigned Medicare billing, Florida enrollment
- 132 clinicians in this Medicare group
Raleigh, NC 27609
- Reassigned Medicare billing, North Carolina enrollment
- 43 clinicians in this Medicare group
Upper Saddle River, NJ 07458
- Reassigned Medicare billing, New Jersey enrollment
- 48 clinicians in this Medicare group
Oklahoma City, OK 73112
- Reassigned Medicare billing, Oklahoma, Colorado, District of Columbia and Virginia enrollments
- Also billed through NPI 1740622133 (Virginia)
- 60 clinicians in this Medicare group
Auburn, MA 01501
- Reassigned Medicare billing, Massachusetts enrollment
- 42 clinicians in this Medicare group
Phoenix, AZ 85034
- Reassigned Medicare billing, Arizona enrollment
- 92 clinicians in this Medicare group
Tacoma, WA 98402
- Reassigned Medicare billing, Washington enrollment
- 120 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 7
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 33950 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Herbert Kalen's NPI number?
The NPI number for Herbert Kalen is 1124699293. It was assigned to this individual provider in the NPPES registry on July 8, 2021.
Where is Herbert Kalen located?
Herbert Kalen practices at 2400 Tamiami Trl, Punta Gorda, FL 33950. The listed phone number is (941) 639-1144.
What is Herbert Kalen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Herbert Kalen enrolled in Medicare?
Yes. Herbert Kalen 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 Herbert Kalen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Herbert Kalen reassigns Medicare benefits to 8 organizations: Coastal Physicians Inc (Cape Coral, FL), Dispatchhealth-Florida Inc. (Tampa, FL), Dispatchhealth, PC (Raleigh, NC), Dispatch Health Medical PC (Upper Saddle River, NJ), True North Health Navigation LLC (Oklahoma City, OK) and 3 more organizations, listed in the Medicare section above. 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 Herbert Kalen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Herbert Kalen accept?
Health plans from Antidote Health of TX, Blue Cross and Blue Shield of Texas, Oscar Health, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 4 other insurers list Herbert Kalen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Herbert Kalen was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Herbert Kalen, NP-C · NPI 1124699293
Family physician in Punta Gorda, Florida. Individual provider, active in the CMS NPPES registry since July 8, 2021.
## Identity
- **NPI:** 1124699293 (Entity type: Individual)
- **Enumerated:** July 8, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 11014053 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2400 TAMIAMI TRL, Punta Gorda, FL 33950-5928
- **Phone:** (941) 639-1144
## 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:** 8 organizations under Medicare reassignment (form CMS-855R): Coastal Physicians Inc (NPI 1720648355, Cape Coral, FL); Dispatchhealth-Florida Inc. (NPI 1407472723, Tampa, FL); Dispatchhealth, PC (NPI 1932714284, Raleigh, NC); Dispatch Health Medical PC (NPI 1447716873, Upper Saddle River, NJ); True North Health Navigation LLC (NPI 1164920252, Oklahoma City, OK); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 22, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1124699293) · Data from the CMS NPPES public registry.