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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: October 18, 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
Open in Google Maps ↗

Other Names 1

Former Name (1)Kristie Michelle Gill

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

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.

Medicare Billing Reassignments

7

Medicare enrollment records show Kristie Jetter reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ibis Healthcare Inc
Same address
Community/Behavioral Health
5707 N. 22ND STREET
Tampa, FL 33610
  • Reassigned Medicare billing, Florida enrollment
  • 109 clinicians in this Medicare group
NPI 1346224011 (813) 239-8069
Behavioral Health Management Services, Inc.
3.5 mi
Mental Health (Including Community Mental Health Center)
2727 W DR MLK BLVD, SUITE 640
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • 188 clinicians in this Medicare group
NPI 1225290851 (813) 872-7582
Baycare Behavioral Health, Inc
3.7 mi
Mental Health (Including Community Mental Health Center)
3001 W DR MARTIN LUTHER KING JR BLVD
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • 224 clinicians in this Medicare group
NPI 1740996511 (866) 762-1743
Baycare Behavioral Health Associates LLC
13 mi
Psychiatry
21808 STATE ROAD 54
Lutz, FL 33549
  • Reassigned Medicare billing, Florida enrollment
  • 240 clinicians in this Medicare group
NPI 1245502152 (727) 315-6974
Winter Haven Hospital Inc
43 mi
Clinical Cardiac Electrophysiology
200 AVENUE F NE FL 2
Winter Haven, FL 33881
  • Reassigned Medicare billing, Florida enrollment
  • 179 clinicians in this Medicare group
NPI 1780150524 (863) 293-1121
Florida Clinical Practice Association Inc
113 mi
Surgery
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 3,324 clinicians in this Medicare group
NPI 1063463768 (352) 265-7922
Emerald Coast Behavioral Hospital, LLC
246 mi
Psychiatric Hospital
1940 HARRISON AVENUE
Panama City, FL 32405
  • Reassigned Medicare billing, Florida enrollment
  • 31 clinicians in this Medicare group
NPI 1578795332 (850) 763-0017

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Kristie Jetter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristie Jetter reassigns Medicare benefits to 7 organizations: Ibis Healthcare Inc (Tampa, FL), Behavioral Health Management Services, Inc. (Tampa, FL), Baycare Behavioral Health, Inc (Tampa, FL), Baycare Behavioral Health Associates LLC (Lutz, FL), Winter Haven Hospital Inc (Winter Haven, FL) and 2 more organizations, listed in the Medicare section above. 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 Kristie Jetter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristie Jetter accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare 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 21 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.