Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

TARA NICOLE KIDD MSN, APRN, PMHNP-BC
NPI 1285341826
Nurse Practitioner - Psychiatric/Mental Health in Fort Walton Beach, FL

Active since November 02, 2022PECOS Enrolled
116 4TH ST SE UNIT C, FORT WALTON BEACH, FL 32548(850) 779-0881(850) 308-2450 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 14, 2026, May 20, 2026, Nov 2, 2022 (3 updates tracked since 2022).

About Tara Nicole Kidd Msn, Aprn, Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA NICOLE KIDD MSN, APRN, PMHNP-BC (NPI 1285341826) is an individual psychiatric/mental health provider in Fort Walton Beach, Florida, licensed in Florida (APRN11027520) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1285341826
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTARA NICOLE KIDDCredential: MSN, APRN, PMHNP-BC
Location Address116 4TH ST SE UNIT CFort Walton Beach, FL 32548-5438
Mailing Address116 4th St Se Unit CFort Walton Beach, FL 32548-5438 · (850) 779-0881 · Fax (850) 308-2450
Fax(850) 308-2450
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 2, 2022
Last NPPES UpdateJuly 14, 20263 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
NPI 1285341826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in FL · APRN11027520
116 4TH ST SE UNIT C, Fort Walton Beach, FL 32548

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tara Nicole Kidd Msn, Aprn, Pmhnp-bc 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.

PECOS PAC ID8426410812
PECOS Enrollment IDI20260304001159
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
180 services47 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
168 services45 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32548 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
116 4TH ST SE UNIT C
FORT WALTON BEACH, FL 32548
Behavior Technician
116 4TH ST SE UNIT C
FORT WALTON BEACH, FL 32548
Behavior Technician
116 4TH ST SE UNIT C
FORT WALTON BEACH, FL 32548
Nurse Practitioner (Psychiatric/Mental Health)
116 4TH ST SE UNIT C
FORT WALTON BEACH, FL 32548

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285341826, enumerated as an "individual" on November 02, 2022.

The provider is located at 116 4TH ST SE UNIT C FORT WALTON BEACH, FL 32548 and the phone number is (850) 779-0881.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.