KELLY ANN ANTONIAK FNP-BC
NPI 1699621029
Nurse Practitioner - Family in Tampa, FL
About Kelly Ann Antoniak Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY ANN ANTONIAK FNP-BC (NPI 1699621029) is an individual family provider in Tampa, Florida, licensed in Florida (11045692) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
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
Kelly Ann Antoniak Fnp-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.
Medicare Billing Reassignments
2Medicare enrollment records show Kelly Antoniak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tampa, FL 33607
- Reassigned Medicare billing, Florida enrollment
- 7 clinicians in this Medicare group
Tampa, FL 33607
- Reassigned Medicare billing, Florida enrollment
- 118 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33607 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
TAMPA, FL 33607
TAMPA, FL 33607
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 Kelly Antoniak's NPI number?
The NPI number for Kelly Antoniak is 1699621029. It was assigned to this individual provider in the NPPES registry on March 9, 2026.
Where is Kelly Antoniak located?
Kelly Antoniak practices at 2815 W Virginia Ave, Tampa, FL 33607. The listed phone number is (813) 544-3208.
What is Kelly Antoniak's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Antoniak enrolled in Medicare?
Yes. Kelly Antoniak 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 Kelly Antoniak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Antoniak reassigns Medicare benefits to 2 organizations: Chris Pittman MD PA (Tampa, FL) and Synergic Healthcare Solutions LLC (Tampa, 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 Kelly Antoniak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Antoniak accept?
Health plans from Oscar Health Maintenance Organization of Florida list Kelly Antoniak 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 Kelly Antoniak was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kelly Ann Antoniak, FNP-BC · NPI 1699621029
Family physician in Tampa, Florida. Individual provider, active in the CMS NPPES registry since March 9, 2026.
## Identity
- **NPI:** 1699621029 (Entity type: Individual)
- **Enumerated:** March 9, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 11045692 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 2815 W VIRGINIA AVE, Tampa, FL 33607-6357
- **Phone:** (813) 544-3208
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Chris Pittman MD PA (NPI 1295039691, Tampa, FL); Synergic Healthcare Solutions LLC (NPI 1932972692, Tampa, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** April 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1699621029) · Data from the CMS NPPES public registry.