MALISSA ANN KIRSTEN A.P.R.N. - NPI 1285816892 - Nurse Practitioner in Jacksonville, FL

Q: What is Malissa Kirsten's NPI number?

The NPI number for Malissa Kirsten is 1285816892. It was assigned to this individual provider in the NPPES registry on December 5, 2007.

Q: What is Malissa Kirsten's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Q: When was this NPI record last updated?

The NPPES record for Malissa Kirsten was last updated on February 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

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About Malissa Ann Kirsten A.p.r.n. NPPES

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

MALISSA ANN KIRSTEN A.P.R.N. (NPI 1285816892) is an individual obstetrics & gynecology provider in Jacksonville, Florida, licensed in Florida (APRN9168505) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285816892

Entity TypeIndividualFemale

Primary Taxonomy363LX0001X

Provider Legal NameMALISSA ANN KIRSTENCredential: A.P.R.N.

Location Address6885 BELFORT OAKS PL STE 300Jacksonville, FL 32216-6284

Mailing AddressPo Box 25317Tampa, FL 33622-5317 · (813) 286-0033 · Fax (813) 282-1806

Phone(904) 296-4200

Fax(904) 296-1040

Sole ProprietorNo

Enumeration DateDecember 5, 2007

Last NPPES UpdateFebruary 27, 20193 updates tracked since enumeration

✔ NPI 1285816892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LX0001X

License✔ Licensed in FL · APRN9168505

6885 BELFORT OAKS PL STE 300, Jacksonville, FL 32216

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Other Identifiers 2

Medicaid002090000FL

OtherAPRN9168505FL · License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Malissa Ann Kirsten A.p.r.n. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 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 5

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

PAUL REBENACK M.D.

Obstetrics & Gynecology