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DR. KRISTIE MICHELLE JETTER M.D.
NPI 1750624805
Psychiatry & Neurology - Child & Adolescent Psychiatry in Tampa, FL

Active since March 27, 2013PECOS EnrolledAccepts Medicare Assignment
5707 N 22ND ST, TAMPA, FL 33610(813) 272-2244(813) 272-3766 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 31, 2024, May 11, 2023 (2 updates tracked since 2023).

About Dr. Kristie Michelle Jetter M.d. NPPES

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

DR. KRISTIE MICHELLE JETTER M.D. (NPI 1750624805) is an individual child & adolescent psychiatry provider in Tampa, Florida, licensed in Florida (ME130758) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (2013).

NPPES Registry Identity

NPI1750624805
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. KRISTIE MICHELLE JETTERCredential: M.D.
Location Address5707 N 22ND STTampa, FL 33610-4350
Mailing Address12901 Bruce B Downs Blvd, Mdc 41Tampa, FL 33612-4742 · (813) 844-7412
Phone(813) 272-2244
Fax(813) 272-3766
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2013
Enumeration DateMarch 27, 2013
Last NPPES UpdateDecember 31, 20242 updates tracked since enumeration
NPPES CertifiedDecember 31, 2024
✔ NPI 1750624805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in FL · ME130758
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5707 N 22ND ST, Tampa, FL 33610
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Other Names 1

Former Name (1)Kristie Michelle Gill

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Maintenance Organization of Florida, UnitedHealthcare.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

Dr. Kristie Michelle Jetter M.d. 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 ID2264718931
PECOS Enrollment IDI20170411002648
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.

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.

DARLENE H ALLEN
Social Worker (Clinical)
5707 N 22ND ST
TAMPA, FL 33610
Hillsborough County (813) 239-8000
RANDY E ROBINSON
Social Worker
5707 N 22ND ST
TAMPA, FL 33610
Hillsborough County (813) 272-2878
TRACY LYNN GOELLNER BOHANNON
Social Worker
5707 N 22ND ST
TAMPA, FL 33610
Hillsborough County (813) 272-2878
MR. JESSE THOMAS RIVERA BA
Social Worker
5707 N 22ND ST
TAMPA, FL 33610
Hillsborough County (813) 239-8069
MARGARITA TREVINO
Social Worker
5707 N 22ND ST
TAMPA, FL 33610
Hillsborough County (813) 239-8447
BEATRIZ ALVAREZ
Social Worker
5707 N 22ND ST
TAMPA, FL 33610
Hillsborough County (813) 272-2244
MARGARET ALEJANDRO RIVERA MA
Community Health Worker
5707 N 22ND ST
TAMPA, FL 33610
Hillsborough County (813) 239-8069
ROSSMERY VILLAVICENCIO BA
Social Worker
5707 N 22ND ST
TAMPA, FL 33610
Hillsborough County (813) 239-8069

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 Kristie Jetter's NPI number?

The NPI number for Kristie Jetter is 1750624805. It was assigned to this individual provider in the NPPES registry on March 27, 2013. The provider is also known as Kristie Michelle Gill.

Where is Kristie Jetter located?

Kristie Jetter practices at 5707 N 22nd St, Tampa, FL 33610. The listed phone number is (813) 272-2244.

What is Kristie Jetter's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Kristie Jetter enrolled in Medicare?

Yes. Kristie Jetter 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.

What insurance does Kristie Jetter accept?

Health plans from Molina Healthcare, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Kristie Jetter 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 Kristie Jetter was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.