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KALLI A ACKERMAN APRN
NPI 1336717081
Nurse Practitioner in Yulee, FL

Active since June 17, 2021PECOS Enrolled
75980 WILLIAM BURGESS BLVD UNIT 3, YULEE, FL 32097(904) 530-4951 Get Directions Write a Review

NPPES record last updated: December 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 14, 2025, Nov 21, 2024, Jun 17, 2021 (3 updates tracked since 2021).

About Kalli A Ackerman Aprn NPPES

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

KALLI A ACKERMAN APRN (NPI 1336717081) is an individual nurse practitioner in Yulee, Florida, licensed in Florida (APRN11013686) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336717081
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKALLI A ACKERMANCredential: APRN
Location Address75980 WILLIAM BURGESS BLVD UNIT 3Yulee, FL 32097-5518
Mailing Address75980 William Burgess Blvd Unit 3Yulee, FL 32097-5518 · (904) 530-4951
Phone(904) 530-4951
Sole ProprietorNo
Enumeration DateJune 17, 2021
Last NPPES UpdateDecember 14, 20253 updates tracked since enumeration
NPPES CertifiedDecember 14, 2025
✔ NPI 1336717081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · APRN11013686
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN11013686 (FL)
75980 WILLIAM BURGESS BLVD UNIT 3, Yulee, FL 32097
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kalli A Ackerman Aprn 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kalli Ackerman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Medical Clinic LLC
166 mi
Clinic/Center
38135 MARKET SQUARE
Zephyrhills, FL 33542
  • Reassigned Medicare billing, Florida enrollment
  • 451 clinicians in this Medicare group
NPI 1821055690 (813) 780-8440
Ohi West Medical Group II LLC
166 mi
General Practice
38135 MARKET SQUARE DR
Zephyrhills, FL 33542
  • Reassigned Medicare billing, Florida enrollment
  • 467 clinicians in this Medicare group
NPI 1982381299 (813) 780-8774

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.

X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
238 services160 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
196 services151 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
117 services79 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.
82 services73 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
34 services34 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
28 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32097 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.

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 Kalli Ackerman's NPI number?

The NPI number for Kalli Ackerman is 1336717081. It was assigned to this individual provider in the NPPES registry on June 17, 2021.

Where is Kalli Ackerman located?

Kalli Ackerman practices at 75980 William Burgess Blvd Unit 3, Yulee, FL 32097. The listed phone number is (904) 530-4951.

What is Kalli Ackerman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kalli Ackerman enrolled in Medicare?

Yes. Kalli Ackerman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kalli Ackerman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kalli Ackerman reassigns Medicare benefits to 2 organizations: Florida Medical Clinic LLC (Zephyrhills, FL) and Ohi West Medical Group II LLC (Zephyrhills, FL). 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 Kalli Ackerman'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 Kalli Ackerman was last updated on December 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.