KELLY CHRISTINE WOMBLES PMHNP
NPI 1336920875
Nurse Practitioner - Psychiatric/Mental Health in Brandon, FL

Q: What is Kelly Wombles's NPI number?

The NPI number for Kelly Wombles is 1336920875. It was assigned to this individual provider in the NPPES registry on October 10, 2023.

Q: What is Kelly Wombles's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Wombles was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since October 10, 2023PECOS EnrolledAccepts Medicare Assignment

1602 OAKFIELD DR STE 205, BRANDON, FL 33511(239) 690-6906 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2024, Oct 10, 2023 (2 updates tracked since 2023).

On this page

About Kelly Christine Wombles Pmhnp NPPES

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

KELLY CHRISTINE WOMBLES PMHNP (NPI 1336920875) is an individual psychiatric/mental health provider in Brandon, Florida, licensed in Florida (11028684) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Auburndale, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1336920875

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKELLY CHRISTINE WOMBLESCredential: PMHNP

Location Address1602 OAKFIELD DR STE 205Brandon, FL 33511-0827

Mailing AddressPo Box 92838Lakeland, FL 33804-2838 · (863) 602-3797

Phone(239) 690-6906

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateOctober 10, 2023

Last NPPES UpdateOctober 14, 20242 updates tracked since enumeration

NPPES CertifiedOctober 14, 2024

✔ NPI 1336920875 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

Licenses✔ Licensed in FL · 11028684✔ Licensed in FL · APRN11028684

1602 OAKFIELD DR STE 205, Brandon, FL 33511

Open in Google Maps ↗

Secondary Practice Location 1

Location 1307 Pontotoc StAuburndale, FL 33823-3444 · Phone (863) 602-3797

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.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

Kelly Christine Wombles Pmhnp 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 ID1254787351

PECOS Enrollment IDI20231025004062

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 33511 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 20

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

JAYDEL D RAYNE APRN, PMHNP

Nurse Practitioner (Psychiatric/Mental Health)